Provider Demographics
NPI:1487920773
Name:URGENT CARE SOUTH, INC
Entity type:Organization
Organization Name:URGENT CARE SOUTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:205-647-1819
Mailing Address - Street 1:143 WHITE OAK TRAIL
Mailing Address - Street 2:
Mailing Address - City:WARRIOR
Mailing Address - State:AL
Mailing Address - Zip Code:35180
Mailing Address - Country:US
Mailing Address - Phone:205-647-1819
Mailing Address - Fax:205-647-1891
Practice Address - Street 1:143 WHITE OAK TRAIL
Practice Address - Street 2:
Practice Address - City:WARRIOR
Practice Address - State:AL
Practice Address - Zip Code:35180
Practice Address - Country:US
Practice Address - Phone:205-647-1819
Practice Address - Fax:205-647-1891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO751261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care