| NPI | 1063696508 |
|---|---|
| Doing Business As | CRYSTAL COAST MEDICAL TRANSPORT |
| Entity Type | Organization |
| Authorized Contact | JAIME LEONARD SMITH President 252-808-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: NC 1633) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2010-03-02 |