Northwest Georgia Medical Clinic 2llc

NPI 1053511493 - Clinic/Center - 261Q00000X

NPI Details
NPI 1053511493
Enumeration Date 07/24/2007
Last Updated 07/24/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALICIA ALICIA
Position LEAD
Phone (404) 943-0205
Fax
Practice Location
1105 N 5TH AVE NE
ROME GA, 30165-2603, US
Phone (404) 943-0205
Fax
Business Location
PO BOX 468329
ATLANTA GA, 31146-8329, US
Phone
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Northwest Georgia Medical Clinic 2llc NPI is 1053511493, taxonomy code is 261Q00000X Northwest Georgia Medical Clinic 2llc physically located at 1105 N 5th Ave Ne, Rome GA, 30165-2603. NPI Number 1033115704 has the healthcare provider type.

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1053511493 NPI number is provided on an as is basis without warranty of any kind. 1053511493 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Georgia Medical Clinic 2llc are for informational purposes only.