MC MEDICAL LLC NPI 1174264337

NPI Information

NPI: 1174264337
Provider Name: MC MEDICAL LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Doing Business As: WALMART HEALTH
Address: 3615 CHARLES HARDY PKWY STE 200
DALLAS, GA
ZIP 30157
Phone: (770) 863-7200

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NPI Details

MC MEDICAL LLC is a general practice in Dallas, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MC MEDICAL LLC NPI is 1174264337. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Walmart Health.

The provider's business location address is:

3615 CHARLES HARDY PKWY STE 200
DALLAS, GA
ZIP 30157-472
Phone: (770) 863-7200

The provider's authorized official is Mark Shen .
The authorized official title is Owner and has the following contact phone number (512) 779-7276.

The enumeration date for this NPI number is 4/4/2022 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	103T00000X	Psychologist		No
3	104100000X	Social Worker		No
4	106H00000X	Marriage & Family Therapist		No
5	207Q00000X	Family Medicine		No
6	207R00000X	Internal Medicine		No
7	208000000X	Pediatrics		No
8	2084P0800X	Psychiatry & Neurology	Psychiatry	No
9	208D00000X	General Practice		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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