Marcus A Pearson Jr.
Private Vehicle in Roanoke Rapids, NC. Individual provider (NPI-1).
NPI number1245947621
StatusActive
Last updated in NPPESFeb 20, 2025
Details
- NPI
- 1245947621
- Entity type
- Individual (NPI-1)
- Name
- Marcus A Pearson Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2022
- Certification date
- Feb 20, 2025
- Last updated
- Feb 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | 32772190 | NC | Yes |
| 172A00000X | Driver | 32772190 | NC | |
| 343900000X | Non-emergency Medical Transport (VAN) | 32772190 | NC |
Practice location
114 Queen StRoanoke Rapids, NC 27870-4820
Phone 252-673-5433
Mailing address
114 Queen StRoanoke Rapids, NC 27870-4820
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