Upshaw, Jana

Upshaw, Jana is an individual health care provider with primary practice located at 966 Houston Northcutt Blvd Ste E , Mount Pleasant SC 29464-3487. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Upshaw, Jana can be contacted via phone (843) 471-0375.

Contact Information

Primary practice address
966 Houston Northcutt Blvd Ste E Mount Pleasant SC 29464-3487
Phone: (843) 471-0375
Fax: (843) 806-4300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2010-01542 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 18649 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 18649 South Carolina

Profile Details

NPI number 1093823957
LBN Legal business name Upshaw, Jana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093823957 NPPES
South Carolina MEDICAID 186499

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