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Organization
PARABASIC, INC
Active
Organization
PARABASIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE D OSTRANDER (OWNER)
(843) 264-2911
Entity
Organization
Contact information
Practice address
238 DAWHOO LAKE RD, GEORGETOWN, SC 29440-8720
(843) 264-2911
(843) 264-2604
Mailing address
238 DAWHOO LAKE RD, GEORGETOWN, SC 29440-8720
(843) 264-2911
(843) 264-2604
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0236
—
SC
01
—
P00295566
MEDICARE RR
SC
Enumeration date
05/02/2006
Last updated
04/20/2008
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