Provider Demographics
NPI:1558699363
Name:EAST CLARENDON METRO CARE LLC
Entity Type:Organization
Organization Name:EAST CLARENDON METRO CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-495-0696
Mailing Address - Street 1:1471 WILLIE COKER RD
Mailing Address - Street 2:
Mailing Address - City:TURBEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29162-9262
Mailing Address - Country:US
Mailing Address - Phone:843-659-3244
Mailing Address - Fax:843-659-3464
Practice Address - Street 1:1471 WILLIE COKER RD
Practice Address - Street 2:
Practice Address - City:TURBEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29162-9262
Practice Address - Country:US
Practice Address - Phone:843-659-3244
Practice Address - Fax:843-659-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport