Cpmsc Carrollton

LBN: Cpmsc Carrollton
Cpmsc Carrollton is an health care organization with primary practice located at 812 South Park Street Suite 5-B, Carrollton GA 30117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Cpmsc Carrollton can be contacted via phone (770) 929-9033, or through Beck, Victoria via phone (404) 920-4950.

Contact Information

Primary practice address
812 South Park Street Suite 5-B Carrollton GA 30117
Phone: (770) 929-9033
Fax: (770) 929-9092
Website:
Map and Directions
Authorized official contact:
Name: Beck, Victoria
Phone: (404) 920-4950

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Georgia

Profile Details

NPI number 1316233612
LBN Legal business name Cpmsc Carrollton
DBA Doing business as
Authorized official Beck, Victoria
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2011
Last updated Oct 20th, 2015 - about 11 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 1316233612 NPPES
Georgia MEDICAID 003126952A

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