Individual
JOHN J DESMOND IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 SHORTER AVE NW, SUITE 201, ROME, GA 30165-4290
(706) 509-3300
(706) 509-3301
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
52705
GA
207Q00000X
Family Medicine Physician
Primary
52705
GA
Other
Enumeration date
05/31/2005
Last updated
03/16/2023
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