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NPI Code Detail

MEDICARE: ANYCARE LLC

MEDICARE: ANYCARE 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
1261Q00000XClinic/Center
2261QU0200XUrgent Care Clinic/CenterTN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2103G703721OTHERTNMEDICARE GROUP PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780022855
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANYCARE LLC
Provider Business Mailing Address
First Line : 702 S CUMBERLAND ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-4110
Country : US
Telephone Number : 615-444-2121
Fax Number : 615-547-6474
Provider Business Practice Location Address
First Line : 702 S CUMBERLAND ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-4110
Country : US
Telephone Number : 615-444-2121
Fax Number : 615-547-6474
Authorized Official
Title or Position : OWNER/ URGENT CARE PHYSICIAN
Name : DR. GEORGE WILLIAM ROBERTSON II
Credential : MD
Telephone Number : 615-444-2121
Provider Enumeration Date : 06/11/2013
Last Update Date : 03/25/2015

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Directions to “ANYCARE LLC ” Practice Location

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