| Organization Name: | CARROLLTON ORTHOPAEDIC CLINIC PC |
| NPI Number: | 1043670243 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES GILBERT (CFO) |
| Mailing Address: | 705 Dallas Hwy Ste 301 Villa Rica |
| State: | GA US |
| Postal Code: | 301801243 |
| Phone Number: | 7277550693 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2016 |
| NPI Last Update Date: | 03/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |