# EAST PALMETTO AMBULANCE SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093011256
- **Authorized official:** JASON LOWDER (DIRECTOR)
- **Authorized official phone:** (803) 473-8000

## Contact information

- **Practice address:** 3694 GREELEYVILLE HWY, MANNING, SC 29102-6197
- **Practice address phone:** (803) 473-8000
- **Practice address fax:** (803) 473-8001
- **Mailing address:** 1830 GREELEYVILLE HWY, MANNING, SC 29102-4418
- **Mailing address phone:** (803) 460-8800
- **Mailing address fax:** (843) 549-3474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 280 | SC | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 04/28/2021
