Individual
STACY A UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-3161
(601) 947-9948
Mailing address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-3161
(601) 947-9948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18212
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125729
—
MS
01
—
9935004
ALABAMA MEDICAID
AL
Enumeration date
08/11/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us