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Organization

CAREHERE LLC

Active
Parent organization
CAREHERE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAREHERE LLC
Authorized official
MR. ERNEST CLEVENGER (PRESIDENT)
(615) 221-5901
Entity
Organization

Contact information

Practice address
750 S PERRY ST STE 200, LAWRENCEVILLE, GA 30046-4804
(877) 423-1330
Mailing address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
(615) 221-5901

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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