Organization
ULTIMATE HEALTH CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL OLANIYI BADA MD (OWNER)
(731) 265-1997
Entity
Organization
Contact information
Practice address
1673 N ROYAL ST, JACKSON, TN 38301-3607
(731) 265-1997
(731) 265-0511
Mailing address
PO BOX 10156, JACKSON, TN 38308-0102
(731) 265-1997
(731) 265-0511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
07/25/2022
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