| NPI | 1063673655 |
|---|---|
| Other Name | WILSON MEDICAL TRANSPORT SERVICE |
| Entity Type | Organization |
| Authorized Contact | DON E WILSON Director 843-325-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: SC 056) |
| Additional Taxonomies | 341600000X Ambulance (Licence: SC 056) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: SC 056) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2012-09-14 |