Provider Demographics
NPI:1720425051
Name:COUNTY OF GEORGETOWN
Entity Type:Organization
Organization Name:COUNTY OF GEORGETOWN
Other - Org Name:MURRELLS INLET- GARDEN CITY FIRE DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:HOWERTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:NREMT-P
Authorized Official - Phone:843-685-0840
Mailing Address - Street 1:4463 NEW RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576
Mailing Address - Country:US
Mailing Address - Phone:843-651-5143
Mailing Address - Fax:843-651-1101
Practice Address - Street 1:4463 NEW RIVER ROAD
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576
Practice Address - Country:US
Practice Address - Phone:843-651-5143
Practice Address - Fax:843-651-1101
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF GEORGETOWN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-28
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC151341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance