NPI 1013246461
Medtran Express
Practice location
- Address
- 115 Excecutive Park, Lake City, SC 29560
- Phone
- (757) 615-9012
- Mailing address
- 392 McClam Rd, Cades, SC 29518-3302
Authorised official
- Name
- Shafara Dozier
- Title
- Owner
- Phone
- (757) 615-9012
Registered specialties
Land Ambulance
Primary
Registry record
- NPI
- 1013246461
- Entity type
- Organization
- NPI issued
- 14 Dec 2009
- Record last updated
- 14 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.