Individual
MR. DAVID L POPULUS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
1638 HWY 53, BURGAW, NC 28425
(910) 443-8351
Mailing address
PO BOX 1727, BURGAW, NC 28425-1727
(910) 443-8351
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
877530
NC
Other
Enumeration date
12/02/2019
Last updated
01/17/2020
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