Organization
ABC TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMMIE JENNINGS (SERVICE PROVIDER)
(843) 783-3549
Entity
Organization
Contact information
Practice address
2460 PAYNESVILLE ROAD, HARDEEVILLE, SC 29927-0742
(843) 783-3549
Mailing address
PO BOX 742, HARDEEVILLE, SC 29927-0742
(843) 783-3549
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
APPLIED FOR
SC
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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