Organization
LAKESIDE MEDICAL RESPONSE TRI COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MARION MCDUFFIE II (PRESIDENT)
(843) 260-0922
Entity
Organization
Contact information
Practice address
1801D W EVANS ST STE 110, FLORENCE, SC 29501-3333
(843) 571-0702
(843) 571-0306
Mailing address
1937 W PALMETTO ST, SUITE 163, FLORENCE, SC 29501-3916
(843) 571-0702
(843) 571-0306
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
03/14/2024
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