Individual
DR. JUSTIN JOHN UPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
752 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 873-5651
(704) 749-5819
Mailing address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 749-5819
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2014-00034
NC
Other
Enumeration date
01/11/2007
Last updated
09/16/2014
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