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TOXICOLOGY ASSOCIATES OF N GEORGIA CARROLLTON INC. NPI 1710218466


NPI Information

NPI: 1710218466
Provider Name: TOXICOLOGY ASSOCIATES OF N GEORGIA CARROLLTON, INC.
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
2536 CARROLLTON VILLA RICA HWY
CARROLLTON, GA
ZIP 30116
Phone: (770) 248-1616
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TOXICOLOGY ASSOCIATES OF N GEORGIA CARROLLTON, INC. is a methadone clinic center in Carrollton, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. TOXICOLOGY ASSOCIATES OF N GEORGIA CARROLLTON, INC. NPI is 1710218466. The provider is registered as an organization entity type.

The provider's business location address is:

2536 CARROLLTON VILLA RICA HWY
CARROLLTON, GA
ZIP 30116-510
Phone: (770) 248-1616
Fax: (770) 248-1618

The provider's authorized official is Carolyn Keelaghan .
The authorized official title is Program Sponsor and has the following contact phone number (770) 248-1616.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 2/23/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneNTP001037GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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