Healthcare Provider Details

I. General information

NPI: 1346523818
Provider Name (Legal Business Name): PATRICK MICHAEL CAREY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 05/10/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 VAN AALST BLVD BMACH ORTHOPEDICS CLINIC
FORT MOORE GA
31905
US

IV. Provider business mailing address

6600 VAN AALST BLVD
FORT MOORE GA
31905-2102
US

V. Phone/Fax

Practice location:
  • Phone: 762-408-1480
  • Fax:
Mailing address:
  • Phone: 770-329-8085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number85530
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: