Organization
SOUTH CAROLINA MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL B ELMORE JR. EMT (MANAGER)
(803) 464-2389
Entity
Organization
Contact information
Practice address
6740 ANGLEWOOD DR, DALZELL, SC 29040-8882
(803) 464-2389
Mailing address
6740 ANGLEWOOD DR, DALZELL, SC 29040-8882
(803) 464-2389
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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