Individual
JAMAAL UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1595 E MAIN ST, PRATTVILLE, AL 36066-5509
(334) 358-3070
(334) 358-3080
Mailing address
1595 E MAIN ST, PRATTVILLE, AL 36066-5509
(334) 358-3070
(334) 358-3080
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 665
AL
Other
Enumeration date
05/06/2010
Last updated
02/08/2018
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