Organization
NORTH GEORGIA ORTHOPAEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINCA CAROL JACKSON MD (OWNER)
(770) 889-7465
Entity
Organization
Contact information
Practice address
634 PEACHTREE PKWY, STE. 100, CUMMING, GA 30041-9782
(770) 889-7465
(770) 781-9369
Mailing address
634 PEACHTREE PKWY, STE. 100, CUMMING, GA 30041-9782
(770) 889-7465
(770) 781-9369
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA9397
RAILROAD MEDICARE
GA
Enumeration date
05/07/2007
Last updated
05/15/2008
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