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Organization

MEDTRAN EXPRESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHAFARA DOZIER (OWNER)
(757) 615-9012
Entity
Organization

Contact information

Practice address
115 EXCECUTIVE PARK, LAKE CITY, SC 29560
(757) 615-9012
Mailing address
392 MCCLAM RD, CADES, SC 29518-3302
(757) 615-9012

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
12/14/2009
Last updated
03/14/2013
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