Healthcare Provider Details

I. General information

NPI: 1134799455
Provider Name (Legal Business Name): AA & Q TRANSPORTATION INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 07/12/2021
Certification Date: 07/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4919 ALBEMARLE RD STE 105
CHARLOTTE NC
28205-6653
US

IV. Provider business mailing address

4919 ALBEMARLE RD STE 105
CHARLOTTE NC
28205-6653
US

V. Phone/Fax

Practice location:
  • Phone: 980-447-3070
  • Fax: 704-448-2050
Mailing address:
  • Phone: 980-447-3070
  • Fax: 704-448-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KAMIYAL SHAVONDAR CHAMBERS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: TRANSPORTATION PROVI
Phone: 980-447-3070