Organization
JASPER DOCTORS CLINIC AND URGENT CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLANLE O. GBADEBO M.D (OWNER)
(205) 295-0002
Entity
Organization
Contact information
Practice address
4330 HIGHWAY 78 E STE 115, MEDICAL PLAZA EAST 114-115, JASPER, AL 35501-8955
(205) 295-0002
(205) 295-0991
Mailing address
4330 HIGHWAY 78 E STE 115, MEDICAL PLAZA EAST 114-115, JASPER, AL 35501-8955
(205) 295-0002
(205) 295-0991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MEDICAID 102173
AL
Other
Enumeration date
07/18/2008
Last updated
07/21/2008
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