Organization
MADISON TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET REED (OFFICE MANAGER)
(803) 549-6724
Entity
Organization
Contact information
Practice address
107 CAW CAW HWY, SAINT MATTHEWS, SC 29135-7801
(803) 549-6724
Mailing address
107 CAW CAW HWY, SAINT MATTHEWS, SC 29135-7801
(803) 549-6724
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699725143
—
SC
Enumeration date
03/10/2018
Last updated
03/10/2018
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