Organization
SHORELINE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOT PARSICK RN (OWNER)
(843) 645-9191
Entity
Organization
Contact information
Practice address
452 BROWNS COVE RD, SUITE B, RIDGELAND, SC 29936-8164
(843) 645-9191
(843) 645-9198
Mailing address
452 BROWNS COVE RD, SUITE B, RIDGELAND, SC 29936-8164
(843) 645-9191
(843) 645-9198
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457639148
—
SC
Enumeration date
05/22/2012
Last updated
05/22/2012
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