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Organization
MY ONLINE DOCTOR'S VISIT LLC
Active
Organization
MY ONLINE DOCTOR'S VISIT LLC
Active
Other names
MyODV
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINGANE BARUTI MD (CEO)
(866) 448-8319
Entity
Organization
Contact information
Practice address
5651 TUXEDO DR, DOUGLASVILLE, GA 30135-7526
(678) 444-8780
Mailing address
1870 THE EXCHANGE SE STE 200-44, ATLANTA, GA 30339-2036
(866) 448-8319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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