Organization
MDCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANTH RAWLA MD (OWNER)
(214) 666-9528
Entity
Organization
Contact information
Practice address
106 BROAD ST, LOGANVILLE, GA 30052-7463
(442) 333-7656
Mailing address
106 BROAD ST, LOGANVILLE, GA 30052-7463
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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