Upshaw, Thomas A

Upshaw, Thomas A is an sole proprietor health care provider with primary practice located at 728 S Shelmore Blvd Ste 103 , Mount Pleasant SC 29464-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Upshaw, Thomas A can be contacted via phone (843) 972-0262.

Contact Information

Primary practice address
728 S Shelmore Blvd Ste 103 Mount Pleasant SC 29464-1601
Phone: (843) 972-0262
Fax: (843) 972-0263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 18101 South Carolina

Profile Details

NPI number 1306002142
LBN Legal business name Upshaw, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2008
Last updated Sep 18th, 2023 - about 2 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 1306002142 NPPES
South Carolina MEDICAID 181010

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