MEDICARE: SDTM INVESTMENTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance		NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C2783126	OTHER	NC	UNITED AMERICAN
2	073AJ	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699803627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SDTM INVESTMENTS INC

Provider Business Mailing Address
First Line	:	425 GRIMES RD
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-4007
Country	:	US
Telephone Number	:	252-975-2722
Fax Number	:	252-975-2803

Provider Business Practice Location Address
First Line	:	425 GRIMES RD
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-4007
Country	:	US
Telephone Number	:	252-975-2722
Fax Number	:	252-975-2803

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STEPHEN TRACEY WILLIAMS
Credential	:
Telephone Number	:	252-975-2722

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/21/2022

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