Provider Demographics
NPI:1255015285
Name:ROYAL NON EMERGENCY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:ROYAL NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY JO
Authorized Official - Middle Name:
Authorized Official - Last Name:WOTRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-926-0622
Mailing Address - Street 1:PO BOX 1911
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29116-1911
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:142 WHALEY ST
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115-7331
Practice Address - Country:US
Practice Address - Phone:843-926-0622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)