| Risinglmc Llc | |
|
1750 Tiruvalla Ct Statham GA 30666-2571 | |
| (941) 281-9462 | |
| Not Available |
| Full Name | Risinglmc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1750 Tiruvalla Ct, Statham, Georgia |
| Authorized Official Name and Position | Tanveer Sohal (CEO) |
| Authorized Official Contact | 9412819462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Risinglmc Llc 1750 Tiruvalla Ct Statham GA 30666-2571 Ph: (941) 281-9462 | Risinglmc Llc 1750 Tiruvalla Ct Statham GA 30666-2571 Ph: (941) 281-9462 |
| NPI Number | 1568328383 |
|---|---|
| Provider Enumeration Date | 12/25/2025 |
| Last Update Date | 12/25/2025 |
| Certification Date | 12/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568328383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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