Organization
MED 360 URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAROUK ANWARUL RAQUIB MD (OWNER/PHYSICIAN)
(205) 487-4535
Entity
Organization
Contact information
Practice address
1700 HIGHWAY 78 E, JASPER, AL 35501-4036
(205) 512-1058
(205) 487-8827
Mailing address
1700 HIGHWAY 78 E, JASPER, AL 35501-4036
(205) 412-5720
(205) 487-8827
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
170018
AL
Other
Enumeration date
10/18/2016
Last updated
03/13/2024
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