Individual
GARY RICHARD EMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3609 SLAGLE DR, CHARLOTTE, NC 28215-3336
(704) 605-4504
Mailing address
3609 SLAGLE DR, CHARLOTTE, NC 28215-3336
(704) 605-4504
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
20136367
NC
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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