Organization
MC MEDICAL LLC
Active
Other names
Walmart Health
Organization subpart
No
Provider details
NPI number
Authorized official
SOUJANYA PULLURU (PRESIDENT)
(706) 225-5681
Entity
Organization
Contact information
Practice address
5448 WHITTLESEY BLVD, STE B, COLUMBUS, GA 31909-7298
(706) 225-5681
(706) 321-7118
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/21/2014
Last updated
11/22/2022
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