Organization
CCMT, INC
Active
Other names
CRYSTAL COAST MEDICAL TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAIME LEONARD SMITH (PRESIDENT)
(252) 808-5555
Entity
Organization
Contact information
Practice address
204 GRAHAM RD, NEWPORT, NC 28570-4111
(252) 808-5555
Mailing address
204 GRAHAM RD, NEWPORT, NC 28570-4111
(252) 808-5555
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1633
NC
Other
Enumeration date
12/19/2007
Last updated
03/02/2010
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