Healthcare Provider Details

I. General information

NPI: 1821283383
Provider Name (Legal Business Name): CHOICE TRANSPORT MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 LAKE EDISTO RD
ORANGEBURG SC
29118-1518
US

IV. Provider business mailing address

PO BOX 6194
NORTH AUGUSTA SC
29861-6194
US

V. Phone/Fax

Practice location:
  • Phone: 803-664-3239
  • Fax:
Mailing address:
  • Phone: 803-442-9426
  • Fax: 706-733-1179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number239
License Number StateSC

VIII. Authorized Official

Name: DELORES A HUTTO
Title or Position: OWNER
Credential:
Phone: 803-664-3239