Organization
WE PROVIDE MEDICAL TRANSPORT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONVER LEE MISHOE SR. OWNER (CEO)
(843) 488-4550
Entity
Organization
Contact information
Practice address
1607 OAK ST, CONWAY, SC 29526-3085
(843) 488-4550
(843) 488-4550
Mailing address
2521 S CARTERSVILLE HWY, TIMMONSVILLE, SC 29161-8042
(803) 369-1112
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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