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Organization
ULTRA HEALTH LLC
Active
Organization
ULTRA HEALTH LLC
Active
Parent organization
ULTRA HEALTH LLC
Other names
Town Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ULTRA HEALTH LLC
Authorized official
JEFFERY H TAYLOR (MEMBER)
(276) 971-0783
Entity
Organization
Contact information
Practice address
1107 RIVERVIEW ST, GRUNDY, VA 24614-9481
(267) 385-1186
Mailing address
PO BOX 289, CEDAR BLUFF, VA 24609-0289
(276) 970-1979
(276) 258-6492
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
03/01/2019
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