Organization
TAD PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE LESLIE WILSON (OWNER)
(252) 772-3189
Entity
Organization
Contact information
Practice address
90 BIRCH AVE, SPRING LAKE, NC 28390-9518
(252) 772-3189
Mailing address
90 BIRCH AVE, SPRING LAKE, NC 28390-9518
(252) 772-3189
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/26/2025
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