Organization · Type 2 NPI

Carehere LLC

Adult Medicine Physician · Albany, GA

NPI number 1083240766 Active

Practice location

114 N Jackson St
Albany, GA 31701-2583

Specialties and licenses

Taxonomy	Code	License
Adult Medicine Physician Primary	207QA0505X	None listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

Another provider at this address

Premise Health of Georgia Medical PCMulti-Specialty Clinic/Center Albany, GA NPI 1245906528

NPI record

NPI: 1083240766
Entity type: Organization (Type 2)
Issued: Mar 13, 2020
Last updated: Mar 13, 2020
Status: Active
Subpart: Yes of Carehere LLC

Other names

Carehere Dougherty County · doing business as
Carehere-Dougherty County · doing business as

Authorized official

Mr. Ernest Clevenger
President
(615) 221-5901

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083240766

Carehere LLC's National Provider Identifier is 1083240766, issued on Mar 13, 2020. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Albany, GA. The record was last updated on Mar 13, 2020.