Organization
FREE CLINIC OF ROME GEORGIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA EARLE (EXEXCTUIVE DIRECTOR)
(706) 234-1331
Entity
Organization
Contact information
Practice address
101-B JOHN MADDOX DRIVE, ROME, GA 30165-1419
(706) 234-1331
Mailing address
101-B JOHN MADDOX DRIVE, ROME, GA 30165-1419
(706) 234-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/16/2014
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