Immediate Care of Rome #1, LLC

NPI #1144552423 in Rome, Georgia

Provider Information

NPI Number
1144552423
Entity Type
Organization
Organization Name
Immediate Care of Rome #1, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Feb 11, 2010
Last Updated
Feb 11, 2010

Practice Location

Address
18 RIVERBEND DR SW
Address 2
SUITE 230
City
Rome
State
Georgia
ZIP Code
30161-6013
Phone
(706) 291-2999

Authorized Official

Name
ROBERT WILDMON
Title
COO
Phone
(706) 354-1036

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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