Individual
DR. ANTHONY C CARANTZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106-8157
(770) 944-1100
(770) 944-6469
Mailing address
2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 30106-8157
(770) 944-1100
(770) 944-6469
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
054591
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914416500A
—
GA
05
—
914416500C
—
GA
05
—
914416500D
—
GA
Enumeration date
09/19/2005
Last updated
02/05/2009
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