Organization
PATIENT RESPONSE ORGANIZATION INC
Active
Other names
Pro Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACIE INMAN FISHER (OWNER BILLING OFFICER)
(843) 289-1431
Entity
Organization
Contact information
Practice address
142 SOUTH MAIN ST, MULLINS, SC 29574
(843) 464-2776
(843) 464-6836
Mailing address
PO BOX 411, MULLINS, SC 29574
(843) 464-2776
(843) 464-6836
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
152
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0207
—
SC
Enumeration date
03/23/2007
Last updated
11/21/2012
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