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Organization
CLINIC OF GADSDEN, PC
Active
Organization
CLINIC OF GADSDEN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HUBBARD FULLER DO (CEO)
(256) 646-6358
Entity
Organization
Contact information
Practice address
1401 RAINBOW DR STE B, GADSDEN, AL 35901-5319
(256) 646-6358
Mailing address
PO BOX 860, GADSDEN, AL 35902-0860
(256) 646-6358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.1762
AL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
01/16/2018
Last updated
01/29/2018
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