# EMPIRE STATE INPATIENT MEDICAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194152751
- **Authorized official:** DR. RODRICK GENAR LAWTON M.D. (PRESIDENT)
- **Authorized official phone:** (678) 441-8556

## Contact information

- **Practice address:** 1500 N JAMES ST, ROME, NY 13440-2844
- **Practice address phone:** (315) 338-7000
- **Mailing address:** 5901-C PEACHTREE-DUNWOODY ROAD, SUITE 350, ATLANTA, GA 30328-7159
- **Mailing address phone:** (678) 441-8556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 09/27/2013
- **Last updated:** 09/27/2013