Organization
ESSENTIAL MEDICAL RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA NICOLE JOHNSON (OWNER)
(843) 367-3670
Entity
Organization
Contact information
Practice address
118 CLAY ST, GOOSE CREEK, SC 29445-3132
(843) 367-3670
Mailing address
118 CLAY ST, GOOSE CREEK, SC 29445-3132
(843) 367-3670
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/25/2012
Last updated
09/26/2012
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