MR. STATE WITHERSPOON ALEXANDER IV (NPI# 1144604315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144604315 |
Entity Type | Individual |
Full Name | MR. STATE WITHERSPOON ALEXANDER IV |
Practice Address |
8933 Raven Park Dr Charlotte NC 28216-1685 |
Practice Telephone | 7043073009 |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | 27783321 | NC | Other Service Providers |
Street Address |
8933 RAVEN PARK DR |
City | CHARLOTTE |
State | NC |
Zip Code | 28216-1685 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487029211 | Alexander Choice Transportation, LLC | Non-emergency Medical Transport (VAN) | 8933 Raven Park Dr, Charlotte, NC 28216 | 2015-12-04 |
1689059131 | Alexander Choice Transportation | Non-emergency Medical Transport (VAN) | 8933 Raven Park Dr, Charlotte, NC 28216-1685 | 2015-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
Find all providers in zip 28216 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992328124 | Tori Wentz | Driver | 7137 Badenoch Ct, Charlotte, NC 28217-3483 | 2020-05-21 |
1043832561 | Grayjones Courier Logistics LLC | Driver | 8119 Bella Vista Ct, Charlotte, NC 28216-2003 | 2020-05-07 |
1851912919 | Ahmed Jama | Driver | 6613 Fawn View Dr, Charlotte, NC 28216-4847 | 2020-04-29 |
1528695301 | Jacob Bailey | Driver | 424 Plymouth Ave, Charlotte, NC 28206-3139 | 2020-03-24 |
1144853326 | Kristopher Long | Driver | 11406 Pedigree Ln, Charlotte, NC 28269-1594 | 2020-02-17 |
1871132324 | James Richard Christopher Jr. | Driver | 228 Westinghouse Blvd Ste 111, Charlotte, NC 28273-6246 | 2020-01-02 |
1558912766 | Floyd Rudolph Foster Jr. | Driver | 2217 Mt Isle Harbor Dr, Charlotte, NC 28214-5409 | 2019-09-28 |
1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
1649769977 | Terri Craft Rodgers | Driver | 1018 N Tryon St, Charlotte, NC 28206-3253 | 2018-05-02 |
1558864553 | Joseph Gilbert | Driver | 5917 Waverly Lynn Ln, Charlotte, NC 28269-1455 | 2018-03-15 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.