Organization
LIFE LINK AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CARL STAPLES JR. DO (CEO, CMO)
(843) 902-7582
Entity
Organization
Contact information
Practice address
6820 LESLIE LEWIS RD, MULLINS, SC 29574-5897
(843) 902-7582
Mailing address
6820 LESLIE LEWIS RD, MULLINS, SC 29574-5897
(843) 902-7582
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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