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Individual

JOSEPH CAPOLUPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, CRNA

Contact information

Practice address
1508 MYRTLE LN, AUGUSTA, GA 30904-5020
(818) 632-7700
Mailing address
1508 MYRTLE LN, AUGUSTA, GA 30904-5020
(818) 632-7700

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95106383
CA
367500000X
Certified Registered Nurse Anesthetist
958121
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN315848
GA

Other

Enumeration date
08/19/2022
Last updated
10/17/2024
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