Organization
TWELVE FOUR TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRONIA WATSON (OWNER)
(803) 347-9291
Entity
Organization
Contact information
Practice address
265 CHAVOUS ST, ORANGEBURG, SC 29115-3845
(803) 347-9291
Mailing address
265 CHAVOUS ST, ORANGEBURG, SC 29115-3845
(803) 347-9291
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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