Walmart Care Clinic 10-0658

LBN: Mc Medical Llc
Walmart Care Clinic 10-0658 is an health care organization with primary practice located at 2510 Redmond Cir Nw , Rome GA 30165-1913. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Mc Medical Llc can be contacted via phone (706) 728-3246, or through Pulluru, Soujanya via phone (706) 728-3246.

Contact Information

Primary practice address
2510 Redmond Cir Nw Rome GA 30165-1913
Phone: (706) 728-3246
Fax: (706) 232-6598
Website:
Map and Directions
Authorized official contact:
Name: Pulluru, Soujanya
Phone: (706) 728-3246

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1174930150
LBN Legal business name Mc Medical Llc
DBA Doing business as Walmart Care Clinic 10-0658
Authorized official Pulluru, Soujanya
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2014
Last updated Dec 7th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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