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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