Organization
GUARDIAN ANGELS MEDICAL TRANSPORTATION LLC
Active
Other names
Guardian Transport
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY L BOURGEOIS (BILLING MANAGER)
(803) 922-4165
Entity
Organization
Contact information
Practice address
680 BROUGHTON ST, ORANGEBURG, SC 29115-6637
(803) 497-3415
(803) 753-9053
Mailing address
PO BOX 753, GASTON, SC 29053-0753
(803) 497-3415
(803) 753-9053
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613
DHEC
SC
Enumeration date
01/21/2021
Last updated
03/16/2026
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