Organization
ROMULUS PRIMARY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRANAKTH SUBBURATHINAM (CREDENTIAL MANAGER)
(478) 285-5452
Entity
Organization
Contact information
Practice address
4439 AUSTELL RD, AUSTELL, GA 30106-1839
(770) 675-7407
(770) 693-5922
Mailing address
675 CHESTATEE CREEK DR NW, ACWORTH, GA 30101-3598
(678) 977-6919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003145276C
—
GA
Enumeration date
08/02/2016
Last updated
03/19/2026
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