| Northwest Georgia Medical Clinic 2llc | |
|
1105 N 5th Ave Ne Rome GA 30165-2603 | |
| (404) 943-0205 | |
| Not Available |
| Full Name | Northwest Georgia Medical Clinic 2llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1105 N 5th Ave Ne, Rome, Georgia |
| Authorized Official Name and Position | Alicia Holden (LEAD) |
| Authorized Official Contact | 4049430205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Georgia Medical Clinic 2llc Po Box 468329 Atlanta GA 31146-8329 Ph: () - | Northwest Georgia Medical Clinic 2llc 1105 N 5th Ave Ne Rome GA 30165-2603 Ph: (404) 943-0205 |
| NPI Number | 1053511493 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053511493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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