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FREE CLINIC OF ROME GEORGIA INC NPI 1346648250


NPI Information

NPI: 1346648250
Provider Name: FREE CLINIC OF ROME GEORGIA INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2183232

Address:
101-B JOHN MADDOX DRIVE
ROME, GA
ZIP 30165
Phone: (706) 234-1331
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FREE CLINIC OF ROME GEORGIA INC is a family medicine in Rome, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FREE CLINIC OF ROME GEORGIA INC NPI is 1346648250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101-B JOHN MADDOX DRIVE
ROME, GA
ZIP 30165-419
Phone: (706) 234-1331

The provider's authorized official is Barbara Earle .
The authorized official title is Exexctuive Director and has the following contact phone number (706) 234-1331.

The CLIA number assigned to this NPI record is 11D2183232 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 12/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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