Carrollton Orthopaedic Clinic
LBN: Carrollton Orthopaedic Clinic Pc
Carrollton Orthopaedic Clinic is an health care organization with primary practice located at 812 S Park St Ste 3 , Carrollton GA 30117-4412. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Carrollton Orthopaedic Clinic Pc can be contacted via phone (727) 755-0693, or through Gilbert, James via phone (727) 755-0693.
Contact Information
Primary practice address
812 S Park St Ste 3
Carrollton GA 30117-4412
Phone: (727) 755-0693
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | 038964 | Georgia |
Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
NPI number | 1912367111 |
---|---|
LBN Legal business name | Carrollton Orthopaedic Clinic Pc |
DBA Doing business as | Carrollton Orthopaedic Clinic |
Authorized official | Gilbert, James |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 1st, 2016 |
Last updated | Mar 4th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912367111 | NPPES |
Other | 2158456 | PK | |
MEDICAID | 000104427 | PK |
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