Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carrollton Surgical Group, P. A.

Organization Surgery Physician · NPI 1417931825

Carrollton Surgical Group, P. A. is a Surgery Physician in Carrollton, Georgia. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

157 Clinic Ave Ste 302
Carrollton, GA 30117-4413
Phone: (770) 834-3336
Fax: (770) 832-2136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1417931825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Zeis — Practice Administrator · (770) 834-3336
NPI enumeratedNovember 30, 2005
Last updated in NPPESAugust 22, 2020
Mailing address157 Clinic Ave, Suite 302, Carrollton, GA 30117-4413

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