Organization
CITY OF GOOSE CREEK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER D HOWANYK (FINANCE DIRECTOR)
(843) 797-6220
Entity
Organization
Contact information
Practice address
519 N GOOSE CREEK BLVD, GOOSE CREEK, SC 29445-2962
(843) 797-6220
(843) 863-5208
Mailing address
PO BOX 1768, GOOSE CREEK, SC 29445-1768
(843) 797-6220
(843) 572-0155
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
18201
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502897
—
SC
Enumeration date
07/05/2005
Last updated
09/26/2024
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