Organization
ADVANCED MOBILCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE JOHNSON (CHIEF EXECUTIVE OFFICER)
(803) 522-2077
Entity
Organization
Contact information
Practice address
401 WESTERN LN, IRMO, SC 29063-7953
(866) 996-2126
(803) 626-0622
Mailing address
41 GREEN ASH CT, IRMO, SC 29063-7618
(803) 522-2077
(803) 626-0622
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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