Maverick Medical Transport LLC
NPI #1144058934 in Mullins, South Carolina
Provider Information
- NPI Number
- 1144058934
- Entity Type
- Organization
- Organization Name
- Maverick Medical Transport LLC
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Jul 23, 2024
- Last Updated
- Jul 23, 2024
Practice Location
- Address
- 6820 LESLIE LEWIS RD
- City
- Mullins
- State
- South Carolina
- ZIP Code
- 29574-5897
- Phone
- (843) 902-7582
Authorized Official
- Name
- DR. KENNETH CARL STAPLES JR., DO
- Title
- COM
- Phone
- (843) 902-7582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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