Rome Primary Care Llc | |
715 E 2nd Ave Sw Rome GA 30161-6148 | |
(706) 291-9898 | |
(706) 291-9884 |
Full Name | Rome Primary Care Llc |
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Speciality | Internal Medicine |
Location | 715 E 2nd Ave Sw, Rome, Georgia |
Authorized Official Name and Position | John O Pittman (OWNER) |
Authorized Official Contact | 7062919898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rome Primary Care Llc 715 E 2nd Ave Sw Rome GA 30161-6148 Ph: (706) 291-9898 | Rome Primary Care Llc 715 E 2nd Ave Sw Rome GA 30161-6148 Ph: (706) 291-9898 |
NPI Number | 1194961201 |
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Provider Enumeration Date | 12/18/2008 |
Last Update Date | 03/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194961201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 037045 (Georgia) | Primary |
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