Provider Demographics
NPI:1629866041
Name:ARVHAMED PRIMARY CARE LLC
Entity type:Organization
Organization Name:ARVHAMED PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:OLAOLU
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLEYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-464-0304
Mailing Address - Street 1:227 FANNIN LN
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-5033
Mailing Address - Country:US
Mailing Address - Phone:404-464-0304
Mailing Address - Fax:404-464-0305
Practice Address - Street 1:205 TOM HILL SR BLVD STE B
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-1932
Practice Address - Country:US
Practice Address - Phone:478-200-8020
Practice Address - Fax:404-464-0305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-26
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Single Specialty