Healthcare Provider Details

I. General information

NPI: 1518881523
Provider Name (Legal Business Name): AMERICAN MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7973 HIGHWAY 90 STE B
LONGS SC
29568-6201
US

IV. Provider business mailing address

7973 HIGHWAY 90 STE B
LONGS SC
29568-6201
US

V. Phone/Fax

Practice location:
  • Phone: 336-280-9432
  • Fax: 336-280-9432
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHATANYA L WALKER
Title or Position: COO
Credential:
Phone: 336-280-9432