Provider Demographics
NPI:1659952000
Name:ERGENT CARE LLC
Entity Type:Organization
Organization Name:ERGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFKOVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-409-1830
Mailing Address - Street 1:1752 MOONSTONE CT
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-1411
Mailing Address - Country:US
Mailing Address - Phone:770-843-0929
Mailing Address - Fax:
Practice Address - Street 1:1752 MOONSTONE CT
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-1411
Practice Address - Country:US
Practice Address - Phone:770-843-0929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty