Individual
DR. BENNIE R UPCHURCH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 N BRICE RD # N, COLUMBUS, OH 43213-6510
(614) 575-2600
Mailing address
99 N BRICE RD # N, COLUMBUS, OH 43213-6510
(614) 575-2600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35067988
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460353
—
OH
05
—
2879265
—
OH
Enumeration date
05/15/2006
Last updated
12/02/2023
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