Organization
ULTRACARE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKIYA ADEDIJI (MANAGING MEMBER)
(334) 239-9480
Entity
Organization
Contact information
Practice address
215 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 239-9480
Mailing address
215 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 239-9480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16675
AL
Other
Enumeration date
10/23/2009
Last updated
01/12/2010
About Stedi
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