Organization
ROME NEUROSPINAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE GOMISCH (OFFICE ADMINISTRATOR)
(706) 238-5465
Entity
Organization
Contact information
Practice address
20 RIVERBEND DR SW, ROME, GA 30161-6066
(706) 295-0070
(706) 235-1618
Mailing address
20 RIVERBEND DR SW, ROME, GA 30161-6066
(706) 295-0070
(706) 235-1618
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
018065
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00082541D
—
GA
Enumeration date
06/24/2008
Last updated
06/24/2008
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