Individual
MARCUS A PEARSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 QUEEN ST, ROANOKE RAPIDS, NC 27870-4820
(252) 673-5433
Mailing address
114 QUEEN ST, ROANOKE RAPIDS, NC 27870-4820
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
32772190
NC
343900000X
Non-emergency Medical Transport (VAN)
32772190
NC
347C00000X
Private Vehicle
Primary
32772190
NC
Other
Enumeration date
11/03/2022
Last updated
02/20/2025
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