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NPI Code Detail

MEDICARE: US CARENET HOLDINGS, LLC

MEDICARE: US CARENET HOLDINGS, 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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1992252639
Entity Type Code : Organization
Provider Name (Legal Business Name) : US CARENET HOLDINGS, LLC
Provider Business Mailing Address
First Line : PO BOX 200
Second Line :
City : AUGUSTA
State : GA
Zip : 30903-0200
Country : US
Telephone Number : 706-303-5500
Fax Number : 706-854-7382
Provider Business Practice Location Address
First Line : 12271 COIT RD
Second Line : SUITE 3300
City : DALLAS
State : TX
Zip : 75251-2300
Country : US
Telephone Number : 972-587-7522
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. RICK W GRIFFIN
Credential :
Telephone Number : 706-303-5500
Provider Enumeration Date : 09/09/2016
Last Update Date : 09/09/2016

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