ULTRA HEALTH PROVIDERS II LLC

JACKSON, TN
NPI1033956057
Entity TypeOrganization
Authorized ContactCHARLES RICHARD JERMAN
Member
731-234-8120
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
Enumeration Date2024-07-09
Last Update Date2025-03-04
Business Address
ULTRA HEALTH PROVIDERS II LLC
36 PEMBERTON CV
JACKSON, TN 38305-5514
Phone number: 731-394-1145
Mailing Address
ULTRA HEALTH PROVIDERS II LLC
PO BOX 26485 DEPT 1138
OKLAHOMA CITY, OK 73126
Phone number: 731-394-1145