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Specialty details in registry · Carrollton, GA
At a glance
107 Park Place Way, Carrollton, GA 30117-1960
NPPES record updated Sep 15, 2014. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
107 Park Place WayCarrollton, GA 30117-1960
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 311ZA0620X
- Enumeration date
- Sep 15, 2014
- Record updated
- Sep 15, 2014
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
311ZA0620X · Primary
License reported: PCH008384 GA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
107 Park Place WayCarrollton, GA 30117-1960
- Phone
- (770) 834-0078
- Fax
- (770) 834-5745
Mailing address
107 PARK PLACE WAYCARROLLTON, GA 301171960
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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