| Walmart Care Clinic 10-0658 | |
|
2510 Redmond Cir Nw Rome GA 30165-1913 | |
| (706) 728-3246 | |
| (706) 232-6598 |
| Full Name | Walmart Care Clinic 10-0658 |
|---|---|
| Speciality | General Practice |
| Location | 2510 Redmond Cir Nw, Rome, Georgia |
| Authorized Official Name and Position | Soujanya Pulluru (PRESIDENT) |
| Authorized Official Contact | 7067283246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walmart Care Clinic 10-0658 702 Sw 8th St Bentonville AR 72716-0445 Ph: (479) 204-8550 | Walmart Care Clinic 10-0658 2510 Redmond Cir Nw Rome GA 30165-1913 Ph: (706) 728-3246 |
| NPI Number | 1174930150 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174930150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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