Organization
COASTAL MEDICAL TRANSPRT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD SCOTT TOMPKINS (OWNER/MANAGER)
(843) 504-7450
Entity
Organization
Contact information
Practice address
6906 HOLLYBROOK CIR, FLORENCE, SC 29505-9291
(843) 347-2928
(843) 347-2928
Mailing address
1744 BRIDGEWATER DR, CONWAY, SC 29526-8054
(843) 347-2928
(843) 347-2928
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
SC
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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