Carrollton Orthopaedic Clinic

LBN: Carrollton Orthopaedic Clinic Pc
Carrollton Orthopaedic Clinic is an health care organization with primary practice located at 204 Allen Memorial Dr Ste 102 , Bremen GA 30110-2063. 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) 755-0679, or through Gilbert, James via phone (727) 755-0693.

Contact Information

Primary practice address
204 Allen Memorial Dr Ste 102 Bremen GA 30110-2063
Phone: (727) 755-0679
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gilbert, James
Phone: (727) 755-0693

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 038964 Georgia
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1013376490
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 Feb 15th, 2016
Last updated Mar 3rd, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013376490 NPPES
Georgia MEDICAID 000104427
Georgia Other 2158424

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