Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Town of Moncks Corner

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1134898000

Town of Moncks Corner is an Emergency Medical Services (Emergency Medicine) Physician in Moncks Corner, South Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

116 Carolina Ave
Moncks Corner, SC 29461-3735
Phone: (843) 719-7990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X

Record details

NPI number1134898000
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Gass — Fire Chief · (843) 719-7991
Other names Moncks Corner Fire Department
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateMarch 31, 2021
Mailing address118 Carolina Ave, Moncks Corner, SC 29461-3735