Individual
MR. CLABURN JACOB UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 TREE LN, SNELLVILLE, GA 30078-6782
(678) 205-4299
Mailing address
234 OLD JACKSON RD, MCDONOUGH, GA 30252-6946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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