Individual
DR. RACHEL CATHERINE NISSEN-UPHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 HEMLOCK ST # 165, MACON, GA 31201-2102
(478) 633-1634
Mailing address
777 HEMLOCK ST # 165, MACON, GA 31201-2102
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16378
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2024
Last updated
06/14/2024
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