Individual
MR. PETER JOSEPH SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204
(704) 384-4000
Mailing address
5025 AIRPORT CENTER PKWY BLDG L, CHARLOTTE, NC 28208-5885
(704) 512-7105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
216289
NC
Other
Enumeration date
11/09/2012
Last updated
08/13/2018
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