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Contact Information

CARROLLTON ORTHOPAEDIC CLINIC PC
204 ALLEN MEMORIAL DR STE 102
BREMEN, GA30110-2063
 Phone: 727-755-0679
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CARROLLTON ORTHOPAEDIC CLINIC PC

NPI Number 1013376490
LBN Legal business name CARROLLTON ORTHOPAEDIC CLINIC PC
Authorized official JAMES GILBERT - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2016
Last updated 03/03/2016 - About 10 years ago
Identifiers
GA License # 038964
GA Medicaid 000104427
Other 2158424 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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