Provider Demographics
NPI:1699803627
Name:SDTM INVESTMENTS INC
Entity type:Organization
Organization Name:SDTM INVESTMENTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:TRACEY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-975-2722
Mailing Address - Street 1:425 GRIMES RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-4007
Mailing Address - Country:US
Mailing Address - Phone:252-975-2722
Mailing Address - Fax:252-975-2803
Practice Address - Street 1:425 GRIMES RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-4007
Practice Address - Country:US
Practice Address - Phone:252-975-2722
Practice Address - Fax:252-975-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC2783126OtherUNITED AMERICAN
NC073AJOtherBCBS
NC3406987Medicaid
NC3406987Medicaid