MEDICARE: RODERICK REMOROZA M.D.

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
1	207RG0100X	Gastroenterology Physician	053708	GA

General Provider Information

NPI Number	:	1801850466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODERICK REMOROZA M.D.

Provider Business Mailing Address
First Line	:	11 JOHN MADDOX DR NW
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30165-1413
Country	:	US
Telephone Number	:	706-295-9332
Fax Number	:	706-378-5582

Provider Business Practice Location Address
First Line	:	11 JOHN MADDOX DR NW
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30165-1413
Country	:	US
Telephone Number	:	706-295-9332
Fax Number	:	706-378-5582

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	07/08/2007

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Directions to “ RODERICK REMOROZA M.D.” Practice Location

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