| Organization Name: | MTM PHARMACY CONSULTANTS OF GEORGIA |
| NPI Number: | 1952617821 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS R CARBAUGH (CEO) |
| Mailing Address: | 4953 Roberts Rd Blackshear |
| State: | GA US |
| Postal Code: | 315164576 |
| Phone Number: | 9124498527 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2010 |
| NPI Last Update Date: | 08/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | 17933 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |