Individual
DR. JEFFREY DURAND SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2 HOLMES WAY, ELON, NC 27244-7810
(336) 260-2361
Mailing address
1217 JAMESTOWNE DR, ELON, NC 27244-8323
(336) 260-2361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8126
NC
Other
Enumeration date
08/29/2012
Last updated
01/09/2013
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