Provider Demographics
NPI:1841039658
Name:JAMES, DAVID RYAN (ATC)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:RYAN
Last Name:JAMES
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 PAGEMONT RD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-8788
Mailing Address - Country:US
Mailing Address - Phone:704-261-4499
Mailing Address - Fax:
Practice Address - Street 1:7801 N TIGERVILLE RD
Practice Address - Street 2:
Practice Address - City:TIGERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29688-9700
Practice Address - Country:US
Practice Address - Phone:864-977-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer