| Robert J Madden Md Pc | |
|
14 John Maddox Dr Nw Rome GA 30165-1450 | |
| (706) 295-7320 | |
| (706) 295-7319 |
| Full Name | Robert J Madden Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14 John Maddox Dr Nw, Rome, Georgia |
| Authorized Official Name and Position | Robert J Madden (PRESIDENT) |
| Authorized Official Contact | 7062957320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Madden Md Pc 14 John Maddox Dr Nw Rome GA 30165-1450 Ph: (706) 295-7320 | Robert J Madden Md Pc 14 John Maddox Dr Nw Rome GA 30165-1450 Ph: (706) 295-7320 |
| NPI Number | 1306052477 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 10/19/2010 |
| Medicare PECOS PAC ID | 8224029673 |
|---|---|
| Medicare Enrollment ID | O20040524000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306052477 | NPI | - | NPPES |
| 85000273G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022825 (Georgia) | Primary |
| Provider Name | Robert J Madden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023224151 PECOS PAC ID: 0143380568 Enrollment ID: I20120125000636 |
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