MEDICARE: BIZCARE SOLUTIONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0600X	Clinical Neurophysiology Physician	052953	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	052953	OTHER	GA	LICENSE

General Provider Information

NPI Number	:	1629388244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIZCARE SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	2526 MOUNT VERNON RD
Second Line	:	SUITE B259
City	:	DUNWOODY
State	:	GA
Zip	:	30338-3049
Country	:	US
Telephone Number	:	678-612-4348
Fax Number	:	678-648-0811

Provider Business Practice Location Address
First Line	:	2526 MOUNT VERNON RD
Second Line	:	SUITE B259
City	:	DUNWOODY
State	:	GA
Zip	:	30338-3049
Country	:	US
Telephone Number	:	678-612-4348
Fax Number	:	678-648-0811

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	DR. TAYLOR BARTLETT HARRISON
Credential	:	M.D.
Telephone Number	:	678-612-4348

Provider Enumeration Date	:	10/16/2010
Last Update Date	:	03/23/2011

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