Organization
LAKE ROBINSON RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY W TANNER NREMTP (DIRECTOR)
(843) 398-4443
Entity
Organization
Contact information
Practice address
2364 W OLD CAMDEN RD, HARTSVILLE, SC 29550-9400
(843) 398-4443
(843) 398-4447
Mailing address
1008 HARTSVILLE AIRPORT RD, HARTSVILLE, SC 29550-8459
(843) 398-4443
(843) 398-4447
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
136
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0237
—
SC
Enumeration date
08/16/2005
Last updated
08/22/2020
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