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NPI Code Detail

MEDICARE: ROME INTERNAL MEDICINE ASSOCIATES, PC

MEDICARE: ROME INTERNAL MEDICINE ASSOCIATES, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1326070939
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROME INTERNAL MEDICINE ASSOCIATES, PC
Provider Business Mailing Address
First Line : 123 THREE RIVERS DR NE
Second Line :
City : ROME
State : GA
Zip : 30161-2300
Country : US
Telephone Number : 706-295-3961
Fax Number : 706-295-3979
Provider Business Practice Location Address
First Line : 123 THREE RIVERS DR NE
Second Line :
City : ROME
State : GA
Zip : 30161-2300
Country : US
Telephone Number : 706-295-3961
Fax Number : 706-295-3979
Authorized Official
Title or Position : PRESIDENT/PHYSICIAN
Name : DR. GREGORY MARK ROGERS
Credential : MD
Telephone Number : 706-295-3961
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/22/2020

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