Organization
PRIME MEDICAL TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA FULLER (PRESIDENT)
(336) 987-7317
Entity
Organization
Contact information
Practice address
5301 GOVERNOR SCOTT RD, CEDAR GROVE, NC 27231-9744
(336) 987-7317
Mailing address
3522 US HIGHWAY 70 W # 479, EFLAND, NC 27243-8409
(984) 261-6545
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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