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WALMART HEALTH
NPI 1174264337
General Practice in Dallas, GA

Active since April 04, 2022
3615 CHARLES HARDY PKWY STE 200, DALLAS, GA 30157(770) 863-7200 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Nov 22, 2022, Apr 4, 2022 (3 updates tracked since 2022).

About Walmart Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALMART HEALTH (NPI 1174264337) is a healthcare organization registered as a general practice in Dallas, Georgia and active in the NPI registry since April 2022. The organization lists Mark Shen, Owner, as its authorized official.

NPPES Registry Identity

NPI1174264337
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMC MEDICAL LLC
Location Address3615 CHARLES HARDY PKWY STE 200Dallas, GA 30157-9472
Mailing Address6910 E Chauncey Ln Ste 220Phoenix, AZ 85054-5162 · (480) 247-3366
Phone(770) 863-7200
Organization SubpartNo
Authorized OfficialMark ShenOwner · (512) 779-7276
Enumeration DateApril 4, 2022
Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1174264337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
3615 CHARLES HARDY PKWY STE 200, Dallas, GA 30157
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Other Names 1

Doing Business AsWalmart Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MC DENTAL LLC
Dentist
3615 CHARLES HARDY PKWY STE 200
DALLAS, GA 30157
Paulding County (770) 767-5546
MC DO OPTOMETRY LLC
Optometrist
3615 CHARLES HARDY PKWY STE 200
DALLAS, GA 30157
Paulding County (770) 767-5548
MC MEDICAL LLC
General Practice
3615 CHARLES HARDY PKWY STE 200
DALLAS, GA 30157
Paulding County (770) 863-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mc Medical LLC's NPI number?

The NPI number for Mc Medical LLC is 1174264337. It was assigned to this organization in the NPPES registry on April 4, 2022. The provider is doing business as Walmart Health.

Where is Mc Medical LLC located?

Mc Medical LLC is located at 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157. The listed phone number is (770) 863-7200.

What is Mc Medical LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mc Medical LLC was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.