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Organization

GRACE AND MERCY SPECIAL TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LEWIS FULLER (VICE PRESIDENT)
(704) 713-6075
Entity
Organization

Contact information

Practice address
5736 HENDERSON OAKS DR, CHARLOTTE, NC 28269-1819
(704) 713-6075
(704) 333-2886
Mailing address
5736 HENDERSON OAKS DR, CHARLOTTE, NC 28269-1819
(704) 713-6075
(704) 333-2886

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/18/2009
Last updated
06/18/2009
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