MC MEDICAL LLC – General Practice Physician, NPI 1356907695

MC MEDICAL LLC is a healthcare provider. based in Dallas, Georgia. specializing in General Practice Physician. The NPI Number for MC MEDICAL LLC is 1356907695

Main info

Organization
Name
MC MEDICAL LLC
NPI
1356907695
Phone
(770) 863-7200
Address
3615 CHARLES HARDY PKWY STE 200
Authorized Official
SOUJANYA PULLURU PRESIDENT
Enumeration Date
13 May 2019
Last Update Date
14 December 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:7State licenses:0Digital endpointsOther names

Provider Addresses for MC MEDICAL LLC

  • 3615 CHARLES HARDY PKWY STE 200

    DALLAS, GA 301579472

    Phone: (770) 863-7200

    Fax: (770) 505-5690

    Type: Location

  • 6435 Bells Ferry Rd Ste 110

    Woodstock, GA 301892317

    Phone: (770) 928-0628

    Fax: (770) 928-0646

    Type: Location

  • 3245 Lawrenceville Suwanee Rd Ste 100

    Suwanee, GA 300246541

    Phone: (678) 482-5441

    Type: Location

  • 2042 W Spring St

    Monroe, GA 306553164

    Phone: (770) 267-4175

    Type: Location

  • 137 Willow Ln

    McDonough, GA 302536574

    Phone: (704) 830-4094

    Fax: (770) 954-0271

    Type: Location

  • 125 Pavilion Pkwy Ste A

    Fayetteville, GA 302144098

    Phone: (770) 719-0939

    Fax: (770) 719-0940

    Type: Location

  • 4221 Atlanta Hwy Ste 101

    Loganville, GA 300527316

    Phone: (704) 796-3974

    Fax: (770) 554-1167

    Type: Location

  • 210 Cobb Pkwy S Ste 100

    Marietta, GA 300606509

    Phone: (770) 955-6836

    Type: Location

  • 1438 Dogwood Dr. SE

    Conyers, GA 30013

    Phone: (770) 860-8544

    Type: Location

  • Walmart Home Office Main Entrance, 702, Southwest 8th Street, Bentonville, Benton County, Arkansas, 72712, United States

    BENTONVILLE, AR 727160445

    Phone: (770) 863-7200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30157)

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Reviews

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Frequently asked questions

What identifier follows MC MEDICAL LLC across health systems?
The NPI 1356907695 uniquely identifies MC MEDICAL LLC in U.S. healthcare data.
Does the public listing show MC MEDICAL LLC as active?
MC MEDICAL LLC's NPI record reflects an active status in NPPES.
What does the directory say MC MEDICAL LLC does?
Insurance directories may phrase it differently, but here MC MEDICAL LLC maps to General Practice Physician. Clinical services aligned with this taxonomy classification.
Is MC MEDICAL LLC tied to Dallas, Georgia?
If you are local to Dallas, Georgia, MC MEDICAL LLC may be relevant to your search.
Why is information missing for MC MEDICAL LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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