# RELYMD MEDICAL GROUP GA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RELYMD MEDICAL GROUP, LLC
- **Other names:** RelyMD Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962014118
- **Legal business name:** RELYMD MEDICAL GROUP, LLC
- **Authorized official:** RONALD MICHAEL CREATORE (CFO/GENERAL COUNSEL)
- **Authorized official phone:** (919) 932-0928

## Contact information

- **Practice address:** 900 OLD ROSWELL LAKES PKWY STE 310, ROSWELL, GA 30076-8667
- **Practice address phone:** (919) 932-0928
- **Mailing address:** 510 MEADOWMONT VILLAGE CIR STE 323, CHAPEL HILL, NC 27517-7584
- **Mailing address phone:** (919) 932-0928

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2020
- **Last updated:** 08/26/2020