# UNITED CHRONIC CARE MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669287462
- **Authorized official:** MR. THERON HENRY (OWNER/FOUNDER)
- **Authorized official phone:** (888) 780-8226

## Contact information

- **Practice address:** 5408 SUMMERVILLE RD STE 155-491, PHENIX CITY, AL 36867-7480
- **Practice address phone:** (888) 780-8226
- **Mailing address:** 5408 SUMMERVILLE RD STE 155-491, PHENIX CITY, AL 36867-7480
- **Mailing address phone:** (888) 780-8226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2025
- **Last updated:** 02/10/2025