NPI 1780354308
Bryan Upshaw
Practice location
- Address
- 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996
- Phone
- (404) 501-1000
- Fax
- (404) 501-8826
- Mailing address
- 3199 Pearce CT, Lithonia, GA 30038-4804
Registered specialties
Personal Emergency Response Attendant
Primary
Registry record
- NPI
- 1780354308
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Sep 2021
- Record last updated
- 30 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.