Organization
SOUTHERN ALTERNATIVE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILSON PENDARVIS III (CO OWNER DIRECTOR)
(803) 829-3433
Entity
Organization
Contact information
Practice address
5877 CHARLESTON HYWY, BOWMAN, SC 29018
(803) 829-3433
(803) 829-2794
Mailing address
5877 CHARLESTON HYWY, BOWMAN, SC 29018
(803) 829-3433
(803) 829-2794
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7725
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7725
SC OFFICE OF REGULATORY
SC
Enumeration date
10/02/2006
Last updated
08/22/2020
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