Individual
MRS. MARY UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 724-6888
Mailing address
607 LAKEVIEW DR, TUSKEGEE, AL 36083-1968
(334) 727-4760
(334) 724-6888
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
498
AL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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