Organization
CAREHERE CLINIC-UTA
Active
Parent organization
CAREHERE LLC
Other names
CAREHERE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAREHERE LLC
Authorized official
MR. ERNIE CLEVENGER (PRESIDENT)
(615) 221-5901
Entity
Organization
Contact information
Practice address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
(615) 221-5901
Mailing address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
(615) 221-5901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8431757-1205
UT
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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