Organization
CCMT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAIME L SMITH (PRESIDENT)
(252) 732-5797
Entity
Organization
Contact information
Practice address
204 GRAHAM RD, NEWPORT, NC 28570-4111
(252) 247-5312
Mailing address
204 GRAHAM RD, NEWPORT, NC 28570-4111
(252) 247-5312
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
APPLYING
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073EG
BCBSNC
NC
05
—
3406944
—
NC
Enumeration date
12/28/2007
Last updated
04/08/2008
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