MEDICARE: WE CARE MEDICAL CENTER, 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	261QP2300X	Primary Care Clinic/Center		AL

General Provider Information

NPI Number	:	1831646769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE CARE MEDICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	1690 LAKE CYRUS CLUB DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-4181
Country	:	US
Telephone Number	:	910-568-6399
Fax Number	:

Provider Business Practice Location Address
First Line	:	1690 LAKE CYRUS CLUB DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-4181
Country	:	US
Telephone Number	:	910-568-6399
Fax Number	:

Authorized Official
Title or Position	:	OWNDER
Name	:	DR. JANAKI RAMPRASAD EARLA
Credential	:	M.D
Telephone Number	:	910-568-6399

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	09/08/2016

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