NPI 1396432779

Edward Rose

Practitioner Basic Emergency Medical Technician Saint Matthews, SC

Practice location

Address: 808 F R Huff Dr, Saint Matthews, SC 29135-1473
Phone: (803) 570-3554
Mailing address: 3003 Bridge St, Saint Matthews, SC 29135-1468

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence SC002186 (SC)

Other Emergency Medical Technician, Basic providers in South Carolina →

Registry record

NPI: 1396432779
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2023
Record last updated: 18 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.