Organization
LAKE WACCAMAW FIRE & RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S WORRELL (CHIEF)
(910) 646-1070
Entity
Organization
Contact information
Practice address
203 FLEMINGTON DR., LAKE WACCAMAW, NC 28450-0000
(910) 646-4441
Mailing address
PO BOX 7, LAKE WACCAMAW, NC 28450-0007
(910) 646-1070
(910) 646-1071
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1483
NC
Other
Enumeration date
11/14/2011
Last updated
12/08/2020
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