Healthcare Provider Details

I. General information

NPI: 1477501708
Provider Name (Legal Business Name): GOLDEN RULE MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7210G BROAD RIVER RD
IRMO SC
29063-7972
US

IV. Provider business mailing address

PO BOX 1637
IRMO SC
29063-1637
US

V. Phone/Fax

Practice location:
  • Phone: 803-407-5266
  • Fax: 803-407-1455
Mailing address:
  • Phone: 803-407-5266
  • Fax: 803-407-1455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateSC

VIII. Authorized Official

Name: MRS. CHARLEE C STEELE
Title or Position: REIMBURSEMENT MANAGER
Credential: CPC
Phone: 803-407-5266