Provider Demographics
NPI:1518697739
Name:CAREPLUS MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:CAREPLUS MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:CORDALE
Authorized Official - Last Name:EAFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:229-308-6839
Mailing Address - Street 1:164 N OLD RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BLAKELY
Mailing Address - State:GA
Mailing Address - Zip Code:39823-5337
Mailing Address - Country:US
Mailing Address - Phone:229-308-6839
Mailing Address - Fax:866-598-3337
Practice Address - Street 1:164 N OLD RIVER RD
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:GA
Practice Address - Zip Code:39823-5337
Practice Address - Country:US
Practice Address - Phone:229-308-6839
Practice Address - Fax:866-598-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service