Individual
MR. JUSTIN SCOTT UPPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ATC
Contact information
Practice address
129 KINGSLEY PARK DR, MOORE, SC 29369-8926
(864) 517-6444
Mailing address
129 KINGSLEY PARK DR, MOORE, SC 29369-8926
(864) 517-6444
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
06/27/2006
Last updated
07/20/2015
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