Lodge Rescue Squad

NPI #1396744090 in Lodge, South Carolina

Provider Information

NPI Number: 1396744090
Entity Type: Organization
Organization Name: Lodge Rescue Squad
Primary Specialty: Ambulance
Enumeration Date: Jul 15, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 395 HIGH COTTON RD
City: Lodge
State: South Carolina
ZIP Code: 29082-9178
Phone: (803) 957-7111

Authorized Official

Name: MR. RICHARD PHILLIP CARTER SR., DIRECTOR/EMT
Title: DIRECTOR
Phone: (843) 866-2322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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