Individual
DONNA UPSHAW-COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APHN
Contact information
Practice address
301 ANDREW AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36360-5001
(334) 255-7260
(334) 255-7663
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7260
(337) 255-7663
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN102633
GA
Other
Enumeration date
09/11/2008
Last updated
07/20/2012
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