Healthcare Provider Details

I. General information

NPI: 1134928195
Provider Name (Legal Business Name): E. L. WILLIAMS ENTERPRISES L. L. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 DINTON RD
COLUMBIA SC
29212-2519
US

IV. Provider business mailing address

142 DINTON RD
COLUMBIA SC
29212-2519
US

V. Phone/Fax

Practice location:
  • Phone: 839-224-0293
  • Fax:
Mailing address:
  • Phone: 839-224-0293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ERIC LEFON WILLIAMS
Title or Position: MEMBER
Credential:
Phone: 839-224-0293