Organization
CARROLLTON ORTHOPAEDIC CLINIC PC
Active
Organization
CARROLLTON ORTHOPAEDIC CLINIC PC
Active
Other names
Orthowest
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE JORDAN (BUSINESS OFFICE MANAGER)
(770) 834-0873
Entity
Organization
Contact information
Practice address
150 CLINIC AVE, SUITE 101, CARROLLTON, GA 30117-4401
(770) 834-0873
Mailing address
150 CLINIC AVE, SUITE 101, CARROLLTON, GA 30117-4401
(770) 834-0873
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
048440
GA
207X00000X
Orthopaedic Surgery Physician
16340
GA
208100000X
Physical Medicine & Rehabilitation Physician
055277
GA
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/13/2007
Last updated
11/07/2024
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