MEDICARE: ANK HEALTHCARE, LLC

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	261QU0200X	Urgent Care Clinic/Center
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1750068565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANK HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	11305 BELL RD STE 105
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-9504
Country	:	US
Telephone Number	:	678-787-5001
Fax Number	:

Provider Business Practice Location Address
First Line	:	11305 BELL RD STE 105
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-9504
Country	:	US
Telephone Number	:	678-787-5001
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	PAMELA KUFAHL
Credential	:
Telephone Number	:	678-787-5001

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	06/06/2024

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Directions to “ANK HEALTHCARE, LLC ” Practice Location

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