# MTM PHARMACY CONSULTANTS OF GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952617821
- **Authorized official:** MR. CHRIS R CARBAUGH PHARMD, RPH. (CEO)
- **Authorized official phone:** (912) 449-8527

## Contact information

- **Practice address:** 4953 ROBERTS RD, BLACKSHEAR, GA 31516-4576
- **Practice address phone:** (912) 449-8527
- **Mailing address:** 4953 ROBERTS RD, BLACKSHEAR, GA 31516-4576
- **Mailing address phone:** (912) 449-8527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 17933 | GA | Yes |

## Other

- **Enumeration date:** 08/29/2010
- **Last updated:** 08/29/2010