Whalio Doctors

NPI 1043512866

Iron Pony INC

Organisation Land Ambulance West Columbia, SC

Practice location

Address
1065 Harbor Dr, West Columbia, SC 29169-3609
Phone
(803) 834-3200
Fax
(803) 791-1577
Mailing address
172 Elvington Ln, Lexington, SC 29073-8875

Authorised official

Name
Jason Brandon Davis
Title
Director/Ceo
Phone
(803) 767-8733

Registered specialties

Land Ambulance Primary
Transportation Services Taxonomy 3416L0300X Licence 277 (SC)

Registry record

NPI
1043512866
Entity type
Organization
NPI issued
30 Nov 2010
Record last updated
30 Nov 2010

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.