| Jasper Doctors Clinic And Urgent Care Inc | |
|
4330 78 East #115 Medical Plaza East Suite 115 Jasper AL 35501-8955 | |
| (205) 295-0002 | |
| (205) 295-0991 |
| Full Name | Jasper Doctors Clinic And Urgent Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4330 78 East #115, Jasper, Alabama |
| Authorized Official Name and Position | Bolanle O Gbadebo (OWNER) |
| Authorized Official Contact | 2052950002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Doctors Clinic And Urgent Care Inc 4330 78 East #115 Medical Plaza Suite 115 Jasper AL 35501-8955 Ph: (205) 295-0002 | Jasper Doctors Clinic And Urgent Care Inc 4330 78 East #115 Medical Plaza East Suite 115 Jasper AL 35501-8955 Ph: (205) 295-0002 |
| NPI Number | 1588686505 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588686505 | NPI | - | NPPES |
| 529929710 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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