Organization
BRANCHVILLE RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA OTT (SQUAD CAPTAIN)
(803) 274-8786
Entity
Organization
Contact information
Practice address
217 MILL POND RD, BOWMAN, SC 29018-8725
(803) 533-4066
(803) 533-4067
Mailing address
217 MILL POND RD, BOWMAN, SC 29018-8725
(803) 533-4066
(803) 533-4067
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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