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MC MEDICAL LLC
NPI 1356907695
General Practice in Dallas, GA

Active since May 13, 2019
3615 CHARLES HARDY PKWY STE 200, DALLAS, GA 30157(770) 863-7200(770) 505-5690 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2021, Dec 7, 2021, Jun 7, 2021 and 7 more (10 updates tracked since 2019).

About Mc Medical Llc NPPES

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

MC MEDICAL LLC (NPI 1356907695) is a healthcare organization registered as a general practice in Dallas, Georgia and active in the NPI registry since May 2019. The organization maintains 8 additional practice locations and lists Soujanya Pulluru, President, as its authorized official.

NPPES Registry Identity

NPI1356907695
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMC MEDICAL LLC
Location Address3615 CHARLES HARDY PKWY STE 200Dallas, GA 30157-9472
Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (770) 863-7200
Phone(770) 863-7200
Fax(770) 505-5690
Organization SubpartNo
Authorized OfficialSoujanya PulluruPresident · (770) 863-7200
Enumeration DateMay 13, 2019
Last NPPES UpdateDecember 14, 202110 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1356907695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3615 CHARLES HARDY PKWY STE 200, Dallas, GA 30157
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Secondary Practice Locations 8

Location 13245 Lawrenceville Suwanee Rd Ste 100Suwanee, GA 30024-6541 · Phone (678) 482-5441
Location 26435 Bells Ferry Rd Ste 110Woodstock, GA 30189-2317 · Phone (770) 928-0628 · Fax (770) 928-0646
Location 3137 Willow LnMcDonough, GA 30253-6574 · Phone (704) 830-4094 · Fax (770) 954-0271
Location 4210 Cobb Pkwy S Ste 100Marietta, GA 30060-6509 · Phone (770) 955-6836
Location 52042 W Spring StMonroe, GA 30655-3164 · Phone (770) 267-4175
Location 64221 Atlanta Hwy Ste 101Loganville, GA 30052-7316 · Phone (704) 796-3974 · Fax (770) 554-1167
Location 7125 Pavilion Pkwy Ste AFayetteville, GA 30214-4098 · Phone (770) 719-0939 · Fax (770) 719-0940
Location 81438 Dogwood Dr. SEConyers, GA 30013 · Phone (770) 860-8544

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

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 1356907695. It was assigned to this organization in the NPPES registry on May 13, 2019.

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 December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.