Organization
ADVANCED CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD P EBERTH MD (PRESIDENT)
(812) 265-9900
Entity
Organization
Contact information
Practice address
2001 CHARLOTTE AVE, SUITE205, NASHVILLE, TN 37203-2032
(812) 265-9900
(812) 265-9998
Mailing address
703 GREEN RD, SUITE #1, MADISON, IN 47250-2145
(812) 265-9900
(812) 265-9998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01044433
IN
174400000X
Specialist
01060297
IN
174400000X
Specialist
Primary
34216
TN
Other
Enumeration date
03/26/2007
Last updated
04/20/2008
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