Dr REVONDA L JESSUP is a female medical professional, specializing in Podiatry. She graduated in 2004 from Temple University School Of Medicine.
JESSUP FOOT AND ANKLE SPECIALISTS, PA
9601 HOLLY POINT DR
SUITE 203
HUNTERSVILLE
NC
280785069
Tel: 7048920949
Npi | 1235346172 |
Pac Id | 7214021989 |
Professional Enrollment Id | I20070926000222 |
Last Name | JESSUP |
First Name | REVONDA |
Middle Name | L |
Suffix | |
Gender | F |
Credential | |
Medical School Name | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | PODIATRY |
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Organization Legal Name | JESSUP FOOT AND ANKLE SPECIALISTS, PA |
Group Practice Pac Id | 3274718952 |
Number Of Group Practice Members | 2 |
Line 1 Street Address | 9601 HOLLY POINT DR |
Line 2 Street Address | SUITE 203 |
Marker Of Address Line 2 Suppression | |
City | HUNTERSVILLE |
State | NC |
Zip Code | 280785069 |
Phone Number | 7048920949 |
Hospital Affiliation Ccn 1 | 340032 |
Hospital Affiliation Lbn 1 | GASTON MEMORIAL HOSPITAL, INC. |
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Professional Accepts Medicare Assignment | Y |
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