Organization
PIONEER TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DI'ONTREY DA'VON GIBBONS (OWNER)
(843) 468-1623
Entity
Organization
Contact information
Practice address
611 W GODBOLD ST STE 100, MARION, SC 29571-3413
(843) 468-1623
Mailing address
611 W GODBOLD ST STE 100, MARION, SC 29571-3413
(843) 468-1623
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
SC
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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