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Carrollton Surgical Group, P. A.

Carrollton Surgical Group, P. A. is a health care provider in Carrollton, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 209 Main St S, Wedowee, AL 36278-5139, US
Practice Location Phone770-834-3336
Practice Location Fax770-832-2331
Legal Business NameCARROLLTON SURGICAL GROUP, P. A.
NPI ?1033315924
Entity TypeOrganization
Enumeration Date ? Jun 26, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Carrollton Surgical Group, P. A.

SpecialtySpecializationLicenseLicense State
Surgery

legacy-id-icon Legacy Provider IDs of Carrollton Surgical Group, P. A.

Provider IdIssuer StateIssuer TypeIssuer
CB2397GeorgiaOtherMEDICARE RRY
55001589AGeorgiaMedicaid

official-icon Authorized Official of Carrollton Surgical Group, P. A.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Carrollton Surgical Group, P. A.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Jan M Zeis
Authorized Official Title/PositionPRACTICE ADMINISTRATOR
Authorized Official Phone Number770-834-3336