Ultimate Health Clinic North | |
16 Murray Guard Dr Ste B Jackson TN 38305-3751 | |
(731) 660-0887 | |
(731) 660-9996 |
Full Name | Ultimate Health Clinic North |
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Speciality | Internal Medicine |
Location | 16 Murray Guard Dr Ste B, Jackson, Tennessee |
Authorized Official Name and Position | Samuel Olaniyi Bada (OWNER) |
Authorized Official Contact | 7312651997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ultimate Health Clinic North 1673 N Royal St Jackson TN 38301-3607 Ph: (731) 265-1997 | Ultimate Health Clinic North 16 Murray Guard Dr Ste B Jackson TN 38305-3751 Ph: (731) 660-0887 |
NPI Number | 1013643998 |
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Provider Enumeration Date | 07/25/2022 |
Last Update Date | 07/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013643998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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