| NPI | 1184031163 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2014-07-22 |
| Last Updated | 2022-11-22 |
| Authorized Official | Soujanya Pulluru President Phone: 7062777661 |
| Mailing Address | 702 Sw 8th St Bentonville, AR 72716-0445 United States Phone: (706) 277-7661 📍 View Map |
| Primary Practice Address | 815 Shugart Rd Dalton, GA 30720-2433 United States Phone: (706) 277-7661 | Fax: (706) 277-7669 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363L00000X – Nurse Practitioner | - | - |
| Yes | 208D00000X – General Practice | - | - |
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About NPI 1184031163
Mc Medical Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1184031163. The primary specialty listed is General Practice. The organization is located in Dalton, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-07-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184031163?
NPI 1184031163 belongs to Mc Medical Llc, a General Practice in Dalton, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184031163 active?
The current status of NPI 1184031163 in the NPPES registry is Active. The record was last updated on 2022-11-22.
What specialty is NPI 1184031163?
NPI 1184031163 is classified under the taxonomy General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184031163?
You can verify NPI 1184031163 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184031163?
The primary practice address on file for NPI 1184031163 is 815 Shugart Rd, Dalton, GA 30720-2433. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184031163 issued?
NPI 1184031163 was first issued (enumerated) on 2014-07-22. The NPPES record was last updated on 2022-11-22.
Practice Location Map
Mc Medical Llc is located at 815 Shugart Rd, Dalton, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mc Medical Llc. All records sourced from the CMS NPPES registry.