Organization
MEDATLANTIC TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LANE (OWNER)
(843) 496-3320
Entity
Organization
Contact information
Practice address
830 JUDGE RD, DILLON, SC 29536-7537
(843) 496-3320
Mailing address
830 JUDGE RD, DILLON, SC 29536-7537
(843) 496-3320
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
319
SC
Other
Enumeration date
07/19/2012
Last updated
08/22/2012
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