Individual ProviderAlysia UpchurchRegistered NurseNursing Service ProvidersPractice Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283(843) 745-2184PECOS EnrollmentBased on the most recent information from CMS, provider Alysia Upchurch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1154747962Provider TypeIndividualFull NameUpchurch, AlysiaGenderFemaleSole ProprietorYesEnumeration Date3/17/2014Last Updated5/26/2015Contact InformationPractice LocationPractice Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283Phone(843) 745-2184Fax(843) 745-2182Mailing LocationMailing Address3180 Thomasina Mcpherson Blvd, North Charleston, SC 29405-8283Phone(843) 745-2184Fax(843) 745-2182Provider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense104396South Carolina