Organization
CAROLINA AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY KLAES (DIR)
(864) 836-8842
Entity
Organization
Contact information
Practice address
738 TUGALOO RD, TRAVELERS REST, SC 29690-7736
(864) 836-8842
Mailing address
PO BOX 9, TRAVELERS REST, SC 29690-0009
(864) 836-8842
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
194
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502913
—
SC
Enumeration date
10/08/2006
Last updated
08/22/2020
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