# MOBILE MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316480049
- **Authorized official:** RAJA PALADUGU M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (864) 436-1021

## Contact information

- **Practice address:** 160 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4226
- **Practice address phone:** (864) 594-9600
- **Mailing address:** 325 HANSA LN, GREER, SC 29650-4549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 19254 | SC | Yes |
| 363LF0000X | Family Nurse Practitioner | 19705 | SC | — |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/29/2016