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Organization
JASPER DOCTORS CLINIC AND URGENT CARE INC.
Active
Organization
JASPER DOCTORS CLINIC AND URGENT CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLANLE O. GBADEBO M.D (OWNER)
(205) 295-0002
Entity
Organization
Contact information
Practice address
4330 HIGHWAY 78 E STE 115, MEDICAL PLAZA EAST 114-115, JASPER, AL 35501-8955
(205) 295-0002
(205) 295-0991
Mailing address
4330 HIGHWAY 78 E STE 115, MEDICAL PLAZA EAST 114-115, JASPER, AL 35501-8955
(205) 295-0002
(205) 295-0991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MEDICAID 102173
AL
Other
Enumeration date
07/18/2008
Last updated
07/21/2008
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