# MEDTRIPS OF THE CAROLINAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356964241
- **Authorized official:** T W (OWNER)
- **Authorized official phone:** (980) 254-7087

## Contact information

- **Practice address:** 5250 FEWELL RD, LAKE WYLIE, SC 29710-7012
- **Practice address phone:** (980) 254-7087
- **Mailing address:** 7137 BADENOCH CT, CHARLOTTE, NC 28217-3483
- **Mailing address phone:** (980) 254-7087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | Yes |

## Other

- **Enumeration date:** 05/26/2020
- **Last updated:** 09/30/2020