Individual
ALAN PHROMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
Mailing address
131 BENTONVILLE LN, DOUGLASVILLE, GA 30134-6300
(615) 427-2125
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
9948
GA
363AM0700X
Medical Physician Assistant
—
—
367H00000X
Anesthesiologist Assistant
Primary
9948
GA
Other
Enumeration date
07/21/2020
Last updated
09/27/2022
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