Individual
CHARLES KIRK JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-7000
Mailing address
1008 FRANKLIN ST, DURHAM, NC 27701-4013
(914) 216-2864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020-00640
NC
Other
Enumeration date
03/27/2017
Last updated
09/11/2020
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