Organization
FULTONDALE URGENT CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C. RANDALL (CHIEF ADMINISTRATIVE OFFICER)
(205) 310-3902
Entity
Organization
Contact information
Practice address
339 WALKER CHAPEL PLAZA, SUITE 115, FULTONDALE, AL 35068
(205) 841-2844
(205) 380-7579
Mailing address
339 WALKER CHAPEL PLAZA, SUITE 115, FULTONDALE, AL 35068
(205) 841-2844
(205) 380-7579
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
11/09/2012
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