Carrollton Surgical Group, P. A.

NPI 1033315924 - Surgery - 208600000X

NPI Details
NPI 1033315924
Enumeration Date 06/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JAN M JAN
Position PRACTICE ADMINISTRATOR
Phone (770) 834-3336
Fax (770) 832-2331
Practice Location
209 MAIN ST S
WEDOWEE AL, 36278-5139, US
Phone (770) 834-3336
Fax (770) 832-2331
Business Location
157 CLINIC AVE
SUITE 302
CARROLLTON GA, 30117-4454, US
Phone (770) 834-3336
Fax (770) 832-2331
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, Carrollton Surgical Group, P. A. NPI is 1033315924, taxonomy code is 208600000X Carrollton Surgical Group, P. A. physically located at 209 Main St S, Wedowee AL, 36278-5139. NPI Number 1033115704 has the healthcare provider type.

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1033315924 NPI number is provided on an as is basis without warranty of any kind. 1033315924 is maintained by the National Plan & Provider Enumeration System. The contents of Carrollton Surgical Group, P. A. are for informational purposes only.