Organization
LEADS WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
7766 W MAIN STREET, RIDGELAND, SC 29936
(843) 441-9415
(843) 305-6107
Mailing address
93 HICKORY ST, RIDGELAND, SC 29936-6101
(843) 441-9415
(843) 305-6107
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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