Individual
SONYA CAROL UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
124 N BROADWAY ST, MCCOMB, MS 39648-3914
(601) 807-0075
Mailing address
127 JOHN GLENN AVE, NATCHEZ, MS 39120-4307
(601) 807-0075
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0565
MS
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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