# MY ONLINE DOCTOR'S VISIT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MyODV
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205410032
- **Authorized official:** DR. DINGANE BARUTI MD (CEO)
- **Authorized official phone:** (866) 448-8319

## Contact information

- **Practice address:** 5651 TUXEDO DR, DOUGLASVILLE, GA 30135-7526
- **Practice address phone:** (678) 444-8780
- **Mailing address:** 1870 THE EXCHANGE SE STE 200-44, ATLANTA, GA 30339-2036
- **Mailing address phone:** (866) 448-8319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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