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
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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