Organization
SOUTHERN URGENT TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHOD MURADOV (CO)
(843) 349-0086
Entity
Organization
Contact information
Practice address
216 LABONTE ST., SUITE D, CONWAY, SC 29526
(843) 349-0086
(843) 349-0093
Mailing address
216 LABONTE ST., SUITE D, CONWAY, SC 29526
(843) 349-0086
(843) 349-0093
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
317
SC
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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