Organization
MSK TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVORIS FRAZIER (OWNER)
(803) 860-1844
Entity
Organization
Contact information
Practice address
226 LAKE DALE AVE, LAKE CITY, SC 29560
(803) 308-0524
(843) 408-4616
Mailing address
226 LAKE DALE AVE, LAKE CITY, SC 29560-2220
(803) 308-0524
(843) 408-4616
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
100298289
SC
Other
Enumeration date
11/16/2017
Last updated
08/22/2018
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