Individual
ANGIE UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 MONTGOMERY HWY, DOTHAN, AL 36303-2171
(334) 468-2150
Mailing address
PO BOX 354, DOTHAN, AL 36302-0354
(912) 585-4165
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AL
Other
Enumeration date
04/16/2021
Last updated
01/20/2022
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