Organization
SURGERY CENTER OF ROME, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PRUSIA (CFO)
(706) 879-4795
Entity
Organization
Contact information
Practice address
16 JOHN MADDOX DR NW, ROME, GA 30165-1414
(706) 802-3727
(706) 802-3883
Mailing address
16 JOHN MADDOX DR NW, ROME, GA 30165-1414
(706) 802-3727
(706) 802-3883
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
057282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000372765A
—
GA
Enumeration date
04/17/2006
Last updated
09/23/2025
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