Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence RD Primary Care LLC

Organization Internal Medicine Physician · NPI 1831537539

Providence RD Primary Care LLC is an Internal Medicine Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4180 Providence Rd Ste 105
Marietta, GA 30062-6186
Phone: (770) 973-4749
Fax: (770) 973-4349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 64774 (GA)

Record details

NPI number1831537539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amma Abunyewa — Provider · (770) 973-4749
NPI enumeratedJune 5, 2013
Last updated in NPPESJune 5, 2013
Mailing address4180 Providence Rd, Ste 105, Marietta, GA 30062-6186

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