Individual
JOSEPH LEE UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1848
(601) 376-1894
Mailing address
PO BOX 7539, JACKSON, MS 39284-7539
(601) 376-1848
(601) 376-1894
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R860012
MS
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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