Town of Lake Waccamaw

NPI #1093417842 in Lake Waccamaw, North Carolina

Provider Information

NPI Number: 1093417842
Entity Type: Organization
Organization Name: Town of Lake Waccamaw
Primary Specialty: Ambulance
Enumeration Date: Mar 17, 2023
Last Updated: Mar 17, 2023

Practice Location

Address: 203 FLEMINGTON DR
City: Lake Waccamaw
State: North Carolina
ZIP Code: 28450
Phone: (910) 646-4441

Authorized Official

Name: MR. DOUGLAS SASSER JR., PARAMEDIC
Title: CAPTAIN
Phone: (910) 317-5220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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