Organization
SST AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEONTRA BOWENS (DIRECTOR)
(843) 478-0181
Entity
Organization
Contact information
Practice address
5900 CORE RD STE 403, NORTH CHARLESTON, SC 29406-6069
(843) 478-0181
Mailing address
5900 CORE RD STE 403, NORTH CHARLESTON, SC 29406-6069
(843) 478-0181
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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