# SPRINGLAKE MEDICAL TRANSPORT, LLC

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

## Provider details

- **NPI number:** 1609280890
- **Authorized official:** MS. DEBORAH KAYE BROWN NREMT (OWNER/MEMBER)
- **Authorized official phone:** (843) 464-6700

## Contact information

- **Practice address:** 2904 S HIGHWAY 41, MULLINS, SC 29574-5534
- **Practice address phone:** (843) 464-6700
- **Practice address fax:** (843) 464-6400
- **Mailing address:** 2904 S HIGHWAY 41, MULLINS, SC 29574-5534
- **Mailing address phone:** (843) 464-6700
- **Mailing address fax:** (843) 464-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 06/16/2014
