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Organization

CAREHERE LLC

Active
Parent organization
CAREHERE LLC
Other names
CareHere-Dougherty County, CareHere Dougherty County
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
114 N JACKSON ST, ALBANY, GA 31701-2583
(615) 221-5901
Mailing address
114 N JACKSON ST, ALBANY, GA 31701-2583
(615) 221-5901

Taxonomy

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

Other

Enumeration date
03/13/2020
Last updated
03/13/2020
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