# MDCARE CLINIC LLC

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

## Provider details

- **NPI number:** 1932947751
- **Authorized official:** PRASHANTH RAWLA MD (OWNER)
- **Authorized official phone:** (214) 666-9528

## Contact information

- **Practice address:** 106 BROAD ST, LOGANVILLE, GA 30052-7463
- **Practice address phone:** (442) 333-7656
- **Mailing address:** 106 BROAD ST, LOGANVILLE, GA 30052-7463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2024
- **Last updated:** 07/16/2024