Carrollton Orthopaedic Clinic

LBN: Carrollton Orthopaedic Clinic Pc
Carrollton Orthopaedic Clinic is an health care organization with primary practice located at 705 Dallas Hwy Ste 301 , Villa Rica GA 30180-1243. 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
705 Dallas Hwy Ste 301 Villa Rica GA 30180-1243
Phone: (727) 755-0693
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gilbert, James
Phone: (727) 755-0693

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 038946 Georgia
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1043670243
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 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 1043670243 NPPES
Other 2158464 PK
MEDICAID 000104427 PK

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