Mdcare Clinic Llc | |
106 Broad St Loganville GA 30052-7463 | |
(442) 333-7656 | |
Not Available |
Full Name | Mdcare Clinic Llc |
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Speciality | General Practice |
Location | 106 Broad St, Loganville, Georgia |
Authorized Official Name and Position | Prashanth Rawla (OWNER) |
Authorized Official Contact | 2146669528 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mdcare Clinic Llc 106 Broad St Loganville GA 30052-7463 Ph: () - | Mdcare Clinic Llc 106 Broad St Loganville GA 30052-7463 Ph: (442) 333-7656 |
NPI Number | 1932947751 |
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Provider Enumeration Date | 07/16/2024 |
Last Update Date | 07/16/2024 |
Identifier | Type | State | Issuer |
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1932947751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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