Organization
BAILEY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DRUSILLA M FULTON (PROVIDER)
(704) 293-5718
Entity
Organization
Contact information
Practice address
44 ANTIOCH DR, KINGSTREE, SC 29556-5733
(704) 293-5718
Mailing address
44 ANTIOCH DR, KINGSTREE, SC 29556-5733
(704) 293-5718
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
12120
SC
Other
Enumeration date
11/19/2016
Last updated
11/19/2016
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