| Organization Name: | URGENT CARE SOUTH, INC |
| NPI Number: | 1487920773 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL THOMAS PATTON (OWNER) |
| Mailing Address: | 143 White Oak Trail Warrior |
| State: | AL US |
| Postal Code: | 35180 |
| Phone Number: | 2056471819 |
| Fax Number: | 2056471891 |
| NPI Enumeration Date: | 03/30/2012 |
| NPI Last Update Date: | 03/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | DO751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |