Organization
JACKSON FIRST ALERT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WEATHERSBY (DIRECTOR)
(803) 471-2482
Entity
Organization
Contact information
Practice address
508 ATOMIC STREET, JACKSON, SC 29831
(803) 471-2637
Mailing address
PO BOX 332, JACKSON, SC 29831-0332
(803) 471-2637
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ABO221
—
SC
Enumeration date
04/17/2007
Last updated
08/22/2020
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