Individual
DR. EMMETT PRICE CORDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 SHORTER AVE NW, ROME, GA 30165-2018
(706) 290-0098
(706) 290-0941
Mailing address
2110 SHORTER AVE NW, ROME, GA 30165-2018
(706) 290-0098
(706) 290-0941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
043911
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00758766E
—
GA
01
—
043911
TAX IDENTIFICATION #
GA
Enumeration date
07/09/2006
Last updated
12/03/2013
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