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Organization
OM PRIMARY CARE LLC
Active
Organization
OM PRIMARY CARE LLC
Active
Other names
Om Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINJAL AMIT KACHALIA MBBS MBA (DIRECTOR)
(470) 416-3424
Entity
Organization
Contact information
Practice address
4300 WESTBROOK RD BLDG A, SUWANEE, GA 30024-4987
(470) 416-3424
Mailing address
220 NEWPORT FAIRWAY, ALPHARETTA, GA 30005-7825
(470) 416-3424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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