Healthcare Provider Details

I. General information

NPI: 1427137959
Provider Name (Legal Business Name): JAMES C UPCHURCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 ALFORD AVENUE
BIRMINGHAM AL
35226
US

IV. Provider business mailing address

1310 ALFORD AVENUE
BIRMINGHAM AL
35226
US

V. Phone/Fax

Practice location:
  • Phone: 205-822-7306
  • Fax: 205-822-0415
Mailing address:
  • Phone: 205-822-7306
  • Fax: 205-822-0415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number2960
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: