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Organization

LANDRUM RESCUE SQUAD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY B COGDELL (CAPTAIN)
(864) 457-4477
Entity
Organization

Contact information

Practice address
5005 SUNSET BLVD, LEXINGTON, SC 29072-9154
(803) 957-7111
(803) 957-7115
Mailing address
300 W COLEMAN ST, LANDRUM, SC 29356-1533
(864) 457-4477

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
084
SC

Other

Enumeration date
08/23/2005
Last updated
08/22/2020
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