| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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