NPI 1144604315

State Witherspoon Alexander

Practitioner Driver Charlotte, NC

Practice location

Address: 8933 Raven Park Dr, Charlotte, NC 28216-1685
Phone: (704) 307-3009

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 27783321 (NC)

Other Driver providers in North Carolina →

Registry record

NPI: 1144604315
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2015
Record last updated: 16 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.