Basic Information
| Provider Information | |||||||||
| NPI: | 1023393592 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ERCARE, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4220 APEX HIGHWAY | ||||||||
| Address2: | SUITE 130B | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277045295 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9194775152 | ||||||||
| FaxNumber: | 9194775474 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 W HAMLET AVE | ||||||||
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| City: | HAMLET | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283454522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199064195 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2011 | ||||||||
| LastUpdateDate: | 10/17/2011 | ||||||||
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| AuthorizedOfficialLastName: | KEKU | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9199064195 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.