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Revonda Lashawn Jessup, DPM
Foot & Ankle Surgery Podiatrist in Gastonia, North Carolina
NPI 1235346172

Revonda Lashawn Jessup is a Foot & Ankle Surgery Podiatrist based in Gastonia, NC and is specialized in Foot & Ankle Surgery. Revonda Lashawn Jessup practices in Gastonia, NC and has the professional credentials of DPM. The NPI Number for Revonda Lashawn Jessup is 1235346172 and holds a License No. 505 (North Carolina).

The current practice location address for Revonda Lashawn Jessup is 2721 X Ray Dr, Gastonia, NC and can be reached out via phone at 704-874-2255. You can also correspond with Revonda Lashawn Jessup through the mailing address at 200 E 2ND AVE, GASTONIA, NC - 28052-4358 (mailing address contact number: 704-874-1936).

Location: 2721 X Ray Dr, Gastonia, NC, 28052-4358
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Provider Profile Details
NPI Number
1235346172
Provider Name
Revonda Lashawn Jessup
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
2721 X Ray Dr, Gastonia, NC, 28052-4358
Phone Number
704-874-2255
Fax Number
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPD505 05 SC
6024065 01 NC CIGNA
081CP 01 NC BCBS
1551892 01 NC AETNA
197970 01 NC MEDCOST
5907484 05 NC
institution
Provider Business Practice Location Address Details
Address
2721 X Ray Dr
City
State
Zip
28054-7491
Phone Number
704-874-2255
Fax Number
person
Provider Business Mailing Address Details
Address
2721 X Ray Dr
City
State
Zip
28054-7491
Phone Number
704-874-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
505 (North Carolina)
Definition
Definition to come...
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