JAMAAL UPSHAW

PRATTVILLE, AL
NPI1750609327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: AL  PA 665)
Enumeration Date2010-05-06
Last Update Date2018-02-08
Business Address
JAMAAL UPSHAW PA
1595 E MAIN ST
PRATTVILLE, AL 36066-5509
Phone number: 334-358-3070
Mailing Address
JAMAAL UPSHAW PA
1595 E MAIN ST
PRATTVILLE, AL 36066-5509
Phone number: 334-358-3070