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Individual

CAMILLE N UPCHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0086315
MD
207R00000X
Internal Medicine Physician
MD419533
PA
208M00000X
Hospitalist Physician
C1-0009714
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001917674
PA
Enumeration date
06/29/2005
Last updated
02/07/2019
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