Organization
AMBU-STAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER PETTISS (SECRETARY - TREASURER)
(864) 488-9906
Entity
Organization
Contact information
Practice address
154 WEBBER RD, GAFFNEY, SC 29341-4037
(864) 488-9906
(877) 941-7812
Mailing address
PO BOX 370, COWPENS, SC 29330-0370
(864) 488-9906
(877) 941-7812
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
226
SC
Other
Enumeration date
05/22/2007
Last updated
06/21/2012
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