Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. State Witherspoon Alexander IV

Individual provider Driver · NPI 1144604315

Mr. State Witherspoon Alexander IV is a Driver in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

8933 Raven Park Dr
Charlotte, NC 28216-1685
Phone: (704) 307-3009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 27783321 (NC)

Record details

NPI number1144604315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2015
Last updated in NPPESJuly 16, 2015

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