Individual
DR. DONALD GLYN UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
110A ALABAMA ST, COLUMBUS, MS 39702-5221
(662) 329-1233
(662) 329-1255
Mailing address
PO BOX 2762, COLUMBUS, MS 39704-2762
(662) 329-1233
(662) 329-1255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
496
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087920
—
MS
Enumeration date
02/14/2007
Last updated
04/02/2008
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