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Organization

CARROLLTON SURGICAL GROUP, P. A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAN M ZEIS (PRACTICE ADMINISTRATOR)
(770) 834-3336
Entity
Organization

Contact information

Practice address
157 CLINIC AVE, SUITE 302, CARROLLTON, GA 30117-4413
(770) 834-3336
(770) 832-2136
Mailing address
157 CLINIC AVE, SUITE 302, CARROLLTON, GA 30117-4413
(770) 834-3336
(770) 832-2136

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55001589A
GA
Enumeration date
11/30/2005
Last updated
08/22/2020
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