Urban Medical Clinic, Inc.

NPI 1598015968 - Family Medicine - 207Q00000X

NPI Details
NPI 1598015968
Enumeration Date 09/13/2012
Last Updated 09/13/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name KERMIT LAMAR KERMIT
Position PRESIDENT
Phone (318) 325-7998
Fax (318) 398-0888
Practice Location
1910 JACKSON ST.
MONROE LA, 71202-2532, US
Phone (318) 325-7998
Fax (318) 398-0888
Business Location
1910 JACKSON ST.
MONROE LA, 71202-2532, US
Phone (318) 325-7998
Fax (318) 398-0888
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Urban Medical Clinic, Inc. NPI is 1598015968, taxonomy code is 207Q00000X Urban Medical Clinic, Inc. physically located at 1910 Jackson St., Monroe LA, 71202-2532. NPI Number 1033115704 has the healthcare provider type.

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1598015968 NPI number is provided on an as is basis without warranty of any kind. 1598015968 is maintained by the National Plan & Provider Enumeration System. The contents of Urban Medical Clinic, Inc. are for informational purposes only.