Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME J UPCHURCH, SA-C, CSFA
Active Sole ProprietorJEROME J UPCHURCH, SA-C, CSFA is a Surgical Physician Assistant healthcare provider located in NORTH POTOMAC, Maryland. NPI 1023557618 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · NORTH POTOMAC, MD
Registration Details
- NPI Number
- 1023557618
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2017 (9.5312595540773 yrs)
- Last Updated
- Sep 12, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
15811 CHAGALL TERNORTH POTOMAC, MD, 208783461Browse MD providers · Browse ZIP 20878
- Phone
- 2155182138
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.