Organization
ALLIANCE AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE T. PROPHETT (PRESIDENT)
(803) 556-5766
Entity
Organization
Contact information
Practice address
3120 N BELTLINE BLVD, SUITE 104, COLUMBIA, SC 29204-2774
(803) 556-5766
Mailing address
3120 N BELTLINE BLVD, SUITE 104, COLUMBIA, SC 29204-2774
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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