Organization
LOGAN MEDICAL TRANSPORTATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT WILLIAMS (DIRECTOR)
(434) 203-8879
Entity
Organization
Contact information
Practice address
10804 AZURE VALLEY PL, CHARLOTTE, NC 28269-9958
(704) 512-0770
Mailing address
5401 SOUTH BLVD STE A, SUITE 115, CHARLOTTE, NC 28217-2741
(704) 512-0770
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
24085411
NC
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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