Carestop Llc | |
5 Willow Lake Dr Warner Robins GA 31093-8523 | |
(478) 765-2888 | |
Not Available |
Full Name | Carestop Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 5 Willow Lake Dr, Warner Robins, Georgia |
Authorized Official Name and Position | Terrill Cooper (OWNER) |
Authorized Official Contact | 4787652888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carestop Llc Po Box 2254 Byron GA 31008-2254 Ph: (478) 765-2888 | Carestop Llc 5 Willow Lake Dr Warner Robins GA 31093-8523 Ph: (478) 765-2888 |
NPI Number | 1548930571 |
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Provider Enumeration Date | 09/21/2021 |
Last Update Date | 09/21/2021 |
Certification Date | 09/21/2021 |
Medicare PECOS PAC ID | 1850755224 |
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Medicare Enrollment ID | O20230919000612 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548930571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
Provider Name | Terrill Anthony Cooper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487001798 PECOS PAC ID: 3678867686 Enrollment ID: I20160812001383 |
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