Individual
DARRYL E RADFORD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REVEREND
Contact information
Practice address
4921 ALBEMARLE RD STE 204, CHARLOTTE, NC 28205-6654
(704) 536-6167
(704) 536-6515
Mailing address
4921 ALBEMARLE RD STE 204, CHARLOTTE, NC 28205-6654
(704) 536-6167
(704) 536-6515
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1763096
OH
174H00000X
Health Educator
1763096
OH
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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