Individual
LINDA A L UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
510 PARK AVE, STATESBORO, GA 30458-5196
(912) 531-2325
Mailing address
510 PARK AVE, STATESBORO, GA 30458-5196
(912) 531-2325
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2007008624
GA
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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