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Individual

JUSTIN BRYANT SCHOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
Mailing address
2945 LAYFAIR DR APT 822, FLOWOOD, MS 39232-9764
(318) 505-9005

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
01/24/2020
Last updated
01/24/2020
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