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General NPI Number Information
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NPI Number | 1003299066
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Entity Type | Organization
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Legal Business Name | INNER BANKS MEDICAL TRANSPORT COMPANY
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1135 CREEK DR
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City | WILLIAMSTON
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State | NC
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Zip | 27892-8080
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Country | US
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Telephone | 252-217-5807
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Fax | 252-792-8774
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Provider Business Mailing Address
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Address Line | 1135 CREEK DR
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City | WILLIAMSTON
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State | NC
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Zip | 27892-8080
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Country | US
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Telephone | 252-217-5807
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Fax | 252-792-8774
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID L SAWYER SR.
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Credential |
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Telephone | 252-217-5807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1857
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License Number State | NC
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