Organization
TDP TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY DALE PATE (OWNER)
(910) 738-9594
Entity
Organization
Contact information
Practice address
1848 US HIGHWAY 74 W, LUMBERTON, NC 28360-5661
(910) 738-9594
(910) 738-9409
Mailing address
PO BOX 2947, PEMBROKE, NC 28372-2947
(910) 738-9594
(910) 738-9409
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
ZE7632
NC
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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