Organization
GUARDIAN MEDICAL TRANSIT, LLC
Active
Other names
Guardian Medical Transit, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH M. THOMAS DIRECTOR (CEO)
(843) 457-0725
Entity
Organization
Contact information
Practice address
10838 KINGS RD STE 25, MYRTLE BEACH, SC 29572-6070
(843) 457-0725
Mailing address
10838 KINGS RD STE 25, MYRTLE BEACH, SC 29572-6070
(843) 457-0725
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17347
MEDICIAD
SC
Enumeration date
05/02/2019
Last updated
07/19/2024
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