| Mc Medical Llc | |
|
5448 Whittlesey Blvd Ste B Columbus GA 31909-7298 | |
| (706) 225-5681 | |
| (706) 321-7118 |
| Full Name | Mc Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 5448 Whittlesey Blvd, Columbus, Georgia |
| Authorized Official Name and Position | Soujanya Pulluru (PRESIDENT) |
| Authorized Official Contact | 7062255681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mc Medical Llc 702 Sw 8th St Bentonville AR 72716-0445 Ph: (479) 204-8550 | Mc Medical Llc 5448 Whittlesey Blvd Ste B Columbus GA 31909-7298 Ph: (706) 225-5681 |
| NPI Number | 1306253521 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306253521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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