Organization
DIRECT MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODGERLA JENKINS BEAMON (OFFICE MANAGER)
(252) 862-8012
Entity
Organization
Contact information
Practice address
110 MITCHELL ST N, AHOSKIE, NC 27910-3030
(252) 862-8012
Mailing address
110 MITCHELL ST N, AHOSKIE, NC 27910-3030
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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