Organization
MYRTLE BEACH AIR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD RICKY GUNTER (OWNER)
(843) 446-9263
Entity
Organization
Contact information
Practice address
1860 GRAY OAKS DR, CONWAY, SC 29526-7425
(843) 446-9263
(843) 399-7888
Mailing address
1860 GRAY OAKS DR, CONWAY, SC 29526-7425
(843) 446-9263
(843) 399-7888
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
245
SC
3416L0300X
Land Ambulance
Primary
254
SC
Other
Enumeration date
06/25/2008
Last updated
06/24/2011
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