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Cpmsc Carrollton
Ambulatory Surgical Clinic/Center in Carrollton, Georgia
NPI 1316233612

Cpmsc Carrollton is an Ambulatory Surgical Clinic/Center based in Birmingham, GA and is specialized in Ambulatory Surgical. Cpmsc Carrollton practices in Carrollton, GA. The NPI Number for Cpmsc Carrollton is 1316233612 and holds a License No. (Georgia).

The current practice location address for Cpmsc Carrollton is 812 South Park Street, Carrollton, GA and can be reached out via phone at 770-929-9033 and via fax at 770-929-9092.

Location: 812 South Park Street, Carrollton, GA, 35426-3185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316233612
Provider Name
Cpmsc Carrollton
Credential
Provider Entity Type
Organization
Address
812 South Park Street, Carrollton, GA, 35426-3185
Phone Number
770-929-9033
Fax Number
770-929-9092
Provider Enumeration Date
06/24/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003126952A 05 GA
institution
Provider Business Practice Location Address Details
Address
812 South Park Street
City
Carrollton
State
Georgia
Zip
30117
Phone Number
770-929-9033
Fax Number
770-929-9092
person
Provider Business Mailing Address Details
Address
812 South Park Street
City
Carrollton
State
Georgia
Zip
30117
Phone Number
770-929-9033
Fax Number
770-929-9092
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
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Definition
Definition to come...
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