LARRY HUGH FORMBY MD NPI 1821082124

NPI Information

NPI: 1821082124
Provider Name: LARRY HUGH FORMBY, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
1013 N 5TH AVE NE
STE ONE
ROME, GA
ZIP 30165
Phone: (706) 295-2393
Get Directions

Larry Hugh Formby, MD is an urology in Rome, GA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Larry Hugh Formby, MD NPI is 1821082124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1013 N 5TH AVE NE
STE ONE
ROME, GA
ZIP 30165-664
Phone: (706) 295-2393
Fax: (706) 290-1101

The enumeration date for this NPI number is 9/1/2005 and was last updated on 11/23/2009.

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
1	208800000X	Urology		19043	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00139004A	MEDICAID	GEORGIA
2	D29492	MEDICARE UPIN

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

NPI Synchronization or Removal

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