Individual
LUCRETIA ANN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NEMT
Contact information
Practice address
6938 FAUST ST, COLUMBIA, SC 29223-7529
(803) 414-3382
Mailing address
278 SESSIONS RD, ELGIN, SC 29045-9744
(803) 414-3382
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
NC
3416L0300X
Land Ambulance
—
NC
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NC
344600000X
Taxi
—
NC
347C00000X
Private Vehicle
—
NC
347E00000X
Transportation Broker
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003179665A
—
GA
05
—
273Y00000X
—
NC
05
—
3416L0300X
—
NC
05
—
343800000X
—
NC
05
—
343900000X
—
NC
05
—
344600000X
—
NC
05
—
347E00000X
—
NC
Enumeration date
09/01/2016
Last updated
09/01/2016
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