Provider Demographics
NPI:1134287717
Name:CARLOTA OB GYN P.C.
Entity Type:Organization
Organization Name:CARLOTA OB GYN P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARLOTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-233-3100
Mailing Address - Street 1:1005 W MARKET ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2454
Mailing Address - Country:US
Mailing Address - Phone:256-233-3100
Mailing Address - Fax:256-233-2277
Practice Address - Street 1:1005 W MARKET ST
Practice Address - Street 2:SUITE 9
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2454
Practice Address - Country:US
Practice Address - Phone:256-233-3100
Practice Address - Fax:256-233-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG58331Medicare UPIN