Healthcare Provider Details

I. General information

NPI: 1710979893
Provider Name (Legal Business Name): DARLINGTON COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 HARRY BYRD HWY
DARLINGTON SC
29532-3520
US

IV. Provider business mailing address

1625 HARRY BYRD HWY
DARLINGTON SC
29532-3520
US

V. Phone/Fax

Practice location:
  • Phone: 843-398-4443
  • Fax: 843-398-4447
Mailing address:
  • Phone: 843-398-4443
  • Fax: 843-398-4447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number021
License Number StateSC

VIII. Authorized Official

Name: MRS. BETTY W TANNER
Title or Position: OFFICE MANAGER
Credential: NREMTP
Phone: 843-398-4443