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Organization
LAKESIDE MEDICAL RESPONSE TRI COUNTY, LLC
Active
Organization
LAKESIDE MEDICAL RESPONSE TRI COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MARION MCDUFFIE II (PRESIDENT)
(843) 260-0922
Entity
Organization
Contact information
Practice address
1801D W EVANS ST STE 110, FLORENCE, SC 29501-3333
(843) 571-0702
(843) 571-0306
Mailing address
1937 W PALMETTO ST, SUITE 163, FLORENCE, SC 29501-3916
(843) 571-0702
(843) 571-0306
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
NULL
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Enumeration date
05/16/2014
Last updated
03/14/2024
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