1457578486 NPI number — DAWKINS MEDICAL TRANSPORT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457578486 NPI number — DAWKINS MEDICAL TRANSPORT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAWKINS MEDICAL TRANSPORT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457578486
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
89 DRYLOG AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGSTREE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29556
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-229-6321
Provider Business Mailing Address Fax Number:
843-629-7266

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
89 DRYLOG AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGSTREE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29556
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-229-6321
Provider Business Practice Location Address Fax Number:
843-629-7266
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DAWKINS
Authorized Official First Name:
MONIQUE
Authorized Official Middle Name:
FRANCHELLE
Authorized Official Title or Position:
SOLE PROPRIETOR
Authorized Official Telephone Number:
843-664-3294

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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