Organization
ROME REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMSEN BEASLEY MSPT CHT (OWNER)
(706) 802-0780
Entity
Organization
Contact information
Practice address
1801 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 802-0780
(706) 802-0786
Mailing address
1801 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 802-0780
(706) 802-0786
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21168648367
BEECHSTREET
—
Enumeration date
08/22/2005
Last updated
04/20/2008
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