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Contact Information

CARROLLTON ORTHOPAEDIC CLINIC PC
705 DALLAS HWY STE 301
VILLA RICA, GA30180-1243
 Phone: 727-755-0693
 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 # 1043670243
LBN Legal business name CARROLLTON ORTHOPAEDIC CLINIC PC
Authorized official JAMES GILBERT - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2016
Last updated 03/03/2016 - About 10 years ago
Identifiers
GA License # 038946
GA Medicaid 000104427
Other 2158464 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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