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Organization
MED ATLANTIC
Active
Organization
MED ATLANTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE H SMITH (OWNER/OPERATOR)
(843) 601-5423
Entity
Organization
Contact information
Practice address
901 S SANTIAGO DR STE UNITJ, FLORENCE, SC 29501-6091
(843) 601-5423
(864) 751-5201
Mailing address
901 S SANTIAGO DR STE UNITJ, FLORENCE, SC 29501-6091
(843) 601-5423
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
05/03/2014
Last updated
05/17/2021
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