Organization
CAROLINAS MEDICAL RESPONSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD THOMAS BUFFKIN SR. (PRESIDENT)
(910) 649-5830
Entity
Organization
Contact information
Practice address
7683 SIDNEY CHERRY GROVE RD, TABOR CITY, NC 28463-8719
(910) 649-5830
(910) 649-5833
Mailing address
7683 SIDNEY CHERRY GROVE RD, TABOR CITY, NC 28463-8719
(910) 649-5830
(910) 649-5833
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
128
SC
146L00000X
Paramedic
Primary
1537
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07219
BCBS NC PROVIDER ID #
NC
05
—
3406648
—
NC
05
—
AB0173
—
SC
Enumeration date
09/09/2005
Last updated
12/14/2009
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