Organization
NW GEORGIA SPECIALTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA M BELCHER APRN, NP, BS (CLINICAL COORDINATOR)
(706) 295-6701
Entity
Organization
Contact information
Practice address
16 E 12TH ST SW, SUITE 202, ROME, GA 30161-4720
(706) 295-6701
(706) 295-6697
Mailing address
16 E 12TH ST SW, SUITE 202, ROME, GA 30161-4720
(706) 295-6701
(706) 295-6697
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
RN175411
GA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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