CCN: 111672 NPI: 1669663506 Organization

AFFINIS CARTERSVILLE

162 W MAIN ST STE 104
CARTERSVILLE, GA 301203573

Contact Information

Phone 6786892343
Fax 6786892345
Enumeration Date 2007-08-06
Last Updated 2023-11-03

Taxonomies

Code: 251G00000X (Primary) License State: GA License: 008-0287-H

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 99911

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99911

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99911

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99911

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99911

providerType 35

censusDivision 3

cbsaActualGeographicLocation 99911

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 11

providerType 35

specialPaymentIndicator

carrierCode 10212

localityCode 99