Individual
MS. VIRGINIA BURTON UPDEGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, BCPP
Contact information
Practice address
1401 W ASH ST, GOLDSBORO, NC 27530-1078
(919) 947-8160
Mailing address
1401 W ASH ST, GOLDSBORO, NC 27530-1078
(919) 947-8160
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
11309
NC
Other
Enumeration date
07/30/2006
Last updated
04/26/2017
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