| NPI Details | |
|---|---|
| NPI | 1174514533 |
| Enumeration Date | 11/03/2005 |
| Last Updated | 07/25/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JERRY DWAYNE JERRY |
| Position | PRESIDENT |
| Phone | (337) 626-0078 |
| Fax | (337) 626-0330 |
| Practice Location | |
|---|---|
| 3924 MAPLEWOOD DR SULPHUR LA, 70663-6352, US |
|
| Phone | (337) 626-0078 |
| Fax | (337) 626-0330 |
| Business Location | |
|---|---|
| 3924 MAPLEWOOD DR SULPHUR LA, 70663-6352, US |
|
| Phone | (337) 626-0078 |
| Fax | (337) 626-0330 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | |
| License Number | |
| Remove 1174514533 NPI Number | |
According to our database, Sulphur Urgent Care, Llc NPI is 1174514533, taxonomy code is 207Q00000X Sulphur Urgent Care, Llc physically located at 3924 Maplewood Dr, Sulphur LA, 70663-6352. NPI Number 1033115704 has the healthcare provider type.
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1174514533 NPI number is provided on an as is basis without warranty of any kind. 1174514533 is maintained by the National Plan & Provider Enumeration System. The contents of Sulphur Urgent Care, Llc are for informational purposes only.
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