IndividualActive
Isaac Elledge
NPI 1285592857 · Basic Emergency Medical Technician · Anderson, SC
Provider details
- NPI number
- 1285592857
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- E4048782
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
316 Boulevard # 237
Anderson, SC 29621-4002
Phone: (574) 849-3930
Approximate (ZIP-level) locationGet directions
Mailing address
316 Boulevard # 237
Anderson, SC 29621-4002
Registry dates
- Enumerated
- 2026-01-13
- Last updated
- 2026-01-13
- Certified
- 2026-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.