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Organization

IRON PONY INC

Active
Other names
Trustus Medical Transport
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON BRANDON DAVIS (DIRECTOR/CEO)
(803) 767-8733
Entity
Organization

Contact information

Practice address
1065 HARBOR DR, WEST COLUMBIA, SC 29169-3609
(803) 834-3200
(803) 791-1577
Mailing address
172 ELVINGTON LN, LEXINGTON, SC 29073-8875
(803) 767-8733
(803) 791-1577

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
277
SC

Other

Enumeration date
11/30/2010
Last updated
11/30/2010
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