Individual
HOLDEN CHRISTIAN UPRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 KELLIE DR, SMITHFIELD, NC 27577-9444
(919) 220-5255
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14645
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-14645
MEDICAL LICENSE
NC
Enumeration date
01/08/2024
Last updated
09/26/2024
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