Organization
ULTRA HEALTH PROVIDERS III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RICHARD JERMAN III (MEMBER)
(731) 234-8120
Entity
Organization
Contact information
Practice address
4128 OLD JACKSON RD, BELLS, TN 38006-4261
(731) 394-1145
Mailing address
PO BOX 26168, DEPT 1141, OKLAHOMA CITY, OK 73126-0168
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
01/09/2026
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