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
—
—
Other
Enumeration date
09/13/2017
Last updated
03/01/2019
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