person
Mr. State Witherspoon Alexander IV
NPI 1144604315

State Witherspoon Alexander IV is a Driver based in Charlotte, NC. State Witherspoon Alexander IV practices in Charlotte, NC. The NPI Number for State Witherspoon Alexander IV is 1144604315 and holds a License No. 27783321 (North Carolina).

The current practice location address for State Witherspoon Alexander IV is 8933 Raven Park Dr, Charlotte, NC and can be reached out via phone at 704-307-3009.

Location: 8933 Raven Park Dr, Charlotte, NC, 28216-1685
person
Provider Profile Details
NPI Number
1144604315
Provider Name
State Witherspoon Alexander IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
8933 Raven Park Dr, Charlotte, NC, 28216-1685
Phone Number
704-307-3009
Fax Number
Provider Enumeration Date
07/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8933 Raven Park Dr
City
State
Zip
28216-1685
Phone Number
704-307-3009
Fax Number
person
Provider Business Mailing Address Details
Address
8933 Raven Park Dr
City
State
Zip
28216-1685
Phone Number
704-307-3009
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
27783321 (North Carolina)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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