Individual
CAMILLE N UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910
(301) 754-7991
(301) 754-7990
Mailing address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 754-7991
(301) 754-7990
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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