Individual
DR. DIMPLE MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 REDMOND RD NW, ROME, GA 30165-1416
(762) 235-3200
(706) 233-8503
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
068678
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
068678
GA
Other
Enumeration date
06/21/2007
Last updated
07/08/2020
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