Organization
WILSON TRANSPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL FRANKLYN WILSON (OWNER)
(843) 374-3402
Entity
Organization
Contact information
Practice address
729 DAVIS ST, LAKE CITY, SC 29560-4212
(843) 374-3402
(843) 374-3406
Mailing address
729 DAVIS STREET, LAKE CITY, SC 29560
(843) 374-3402
(843) 374-3406
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
056
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0234
—
SC
Enumeration date
12/06/2006
Last updated
08/22/2020
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