IndividualActive
Willie Cook, EMT
NPI 1184903833 · Basic Emergency Medical Technician · Lake City, SC
Provider details
- NPI number
- 1184903833
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- EMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- SC019495 (SC)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
358 Gaddy St
Lake City, SC 29560-2339
Phone: (843) 539-6745
Approximate (ZIP-level) locationGet directions
Mailing address
358 Gaddy St
Lake City, SC 29560-2339
Registry dates
- Enumerated
- 2011-08-12
- Last updated
- 2011-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.