Individual
BRYAN UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 DEKALB MEDICAL PKWY, LITHONIA, GA 30058-4996
(404) 501-1000
(404) 501-8826
Mailing address
3199 PEARCE CT, LITHONIA, GA 30038-4804
(404) 447-0334
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
GA
Other
Enumeration date
09/15/2021
Last updated
09/30/2021
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