Healthcare Provider Details

I. General information

NPI: 1013923820
Provider Name (Legal Business Name): ROME IMAGING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 04/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W 5TH ST SW SUITE 150
ROME GA
30165-2817
US

IV. Provider business mailing address

PO BOX 1896
ROME GA
30162-1896
US

V. Phone/Fax

Practice location:
  • Phone: 706-232-1545
  • Fax:
Mailing address:
  • Phone: 706-291-2077
  • Fax: 706-235-4177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM S BROWNSEY II
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 423-424-3849