Carollo, Thomas Joseph

Carollo, Thomas Joseph is an individual health care provider with primary practice located at 1200 Northside Forsyth Dr , Cumming GA 30041-7659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Carollo, Thomas Joseph can be contacted via phone (770) 844-3200.

Contact Information

Primary practice address
1200 Northside Forsyth Dr Cumming GA 30041-7659
Phone: (770) 844-3200
Fax: (404) 851-6325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 060355 Georgia

Profile Details

NPI number 1740372572
LBN Legal business name Carollo, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jan 19th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740372572 NPPES
Georgia MEDICAID 666784042E

Popular Providers