Organization
CAROLINA MOBILE TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L PITTMAN (PRESIDENT)
(910) 382-0344
Entity
Organization
Contact information
Practice address
6416 OLD FORT RD, WILMINGTON, NC 28411-4771
(910) 382-0344
Mailing address
6416 OLD FORT RD, WILMINGTON, NC 28411-4771
(910) 382-0344
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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