Upton, Samantha

Upton, Samantha is an individual health care provider with primary practice located at 424 N Broad St , New Tazewell TN 37825-6606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Upton, Samantha can be contacted via phone (423) 259-5700.

Contact Information

Primary practice address
424 N Broad St New Tazewell TN 37825-6606
Phone: (423) 259-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5757 Tennessee

Profile Details

NPI number 1154103695
LBN Legal business name Upton, Samantha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2023
Last updated Nov 1st, 2023 - about 3 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 1154103695 NPPES
Tennessee MEDICAID Q087632

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