| Mc Medical Llc | |
|
815 Shugart Rd Dalton GA 30720-2433 | |
| (706) 277-7661 | |
| (706) 277-7669 |
| Full Name | Mc Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 815 Shugart Rd, Dalton, Georgia |
| Authorized Official Name and Position | Soujanya Pulluru (PRESIDENT) |
| Authorized Official Contact | 7062777661 |
| 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: (706) 277-7661 | Mc Medical Llc 815 Shugart Rd Dalton GA 30720-2433 Ph: (706) 277-7661 |
| NPI Number | 1184031163 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184031163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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