Organization
SURRY VOLUNTEER RESCUE SQUAD, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GWALTNEY (CAPTAIN)
(757) 294-5264
Entity
Organization
Contact information
Practice address
11627 ROLFE HIGHWAY, SURRY, VA 23883
(757) 294-5264
(757) 294-5486
Mailing address
PO BOX 188, SURRY, VA 23883-0188
(757) 294-5264
(757) 294-5486
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
302
VA
Other
Enumeration date
12/06/2012
Last updated
11/20/2017
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