Healthcare Provider Details
I. General information
NPI: 1972998615
Provider Name (Legal Business Name): ROME ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2015
Last Update Date: 04/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4230 HARDING PIKE SUITE 901
NASHVILLE TN
37205-2013
US
IV. Provider business mailing address
PO BOX 330489
NASHVILLE TN
37203-7504
US
V. Phone/Fax
- Phone: 615-933-3452
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RACHEL
ROME
Title or Position: PHYSICIAN
Credential:
Phone: 615-933-3452