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Organization
CITY OF ROME
Active
Organization
CITY OF ROME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM LOPEZ (OFFICER)
(787) 310-7531
Entity
Organization
Contact information
Practice address
5 GOVERNMENT PLZ, ROME, GA 30161-2806
(706) 292-3354
Mailing address
4A FOUNTAIN SQ, ROME, GA 30165
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
055665478
GA
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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