Provider Demographics
NPI:1841058005
Name:VANN, RICHARD P JR
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:P
Last Name:VANN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 GEARY ST NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8210
Mailing Address - Country:US
Mailing Address - Phone:704-649-0723
Mailing Address - Fax:
Practice Address - Street 1:537 GEARY ST NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-8210
Practice Address - Country:US
Practice Address - Phone:704-649-0723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)