Organization
ADVANCE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA A PICARD (OWNER)
(843) 903-4268
Entity
Organization
Contact information
Practice address
875 NICHOLAS ST, UNITA, MURRELLS INLET, SC 29576-4312
(843) 903-4268
(843) 651-3352
Mailing address
PO BOX 8069, MYRTLE BEACH, SC 29578-8069
(843) 903-4268
(843) 651-3352
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
314
SC
Other
Enumeration date
06/05/2012
Last updated
03/10/2017
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