Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 60192 | TN |
N | 2086S0120X | Pediatric Surgery | G87706 | CA |
NPI | 1376519967 |
---|---|
Provider Name | Dr. Jeffrey Scott Upperman |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 15/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G77643 | (02) | PA |