Healthcare Provider Details

I. General information

NPI: 1710606561
Provider Name (Legal Business Name): AMERICAN TRANSPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2124 RIVERSIDE DR
MACON GA
31204-1747
US

IV. Provider business mailing address

PO BOX 13522
MACON GA
31208-3522
US

V. Phone/Fax

Practice location:
  • Phone: 478-342-5480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY M HAWORTH
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: NRP
Phone: 478-342-8540