Individual
THOMAS STEPHEN UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER RD NW, SUITE 500, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37716
GA
207Q00000X
Family Medicine Physician
037716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000571062D
—
GA
Enumeration date
10/11/2006
Last updated
09/11/2012
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