| Jasper Doctors Clinic And Urgent Care Inc. | |
|
4330 Highway 78 E Ste 115 Medical Plaza East 114-115 Jasper AL 35501-8955 | |
| (205) 295-0002 | |
| (205) 295-0991 |
| Full Name | Jasper Doctors Clinic And Urgent Care Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4330 Highway 78 E Ste 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 Highway 78 E Ste 115 Medical Plaza East 114-115 Jasper AL 35501-8955 Ph: (205) 295-0002 | Jasper Doctors Clinic And Urgent Care Inc. 4330 Highway 78 E Ste 115 Medical Plaza East 114-115 Jasper AL 35501-8955 Ph: (205) 295-0002 |
| NPI Number | 1831353846 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831353846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MEDICAID 102173 (Alabama) | Primary |
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