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Individual

EARL JOSEPH EPPS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ND

Contact information

Practice address
700 S TORRENCE ST, SUITE 210, CHARLOTTE, NC 28204-2928
(704) 377-6737
(704) 377-7107
Mailing address
700 S TORRENCE ST, SUITE 210, CHARLOTTE, NC 28204-2928
(704) 377-6737
(704) 377-7107

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24063
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30704
BLUE CROSS BLUE SHEILD
NC
05
8930704
NC
Enumeration date
11/06/2006
Last updated
07/21/2010
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