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Organization

ROMA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERICH GRAHAM RANDOLPH MD (CEO)
(404) 234-6473
Entity
Organization

Contact information

Practice address
1110 W PEACHTREE ST NW STE 100, ATLANTA, GA 30309-3609
(404) 234-6473
(404) 575-2051
Mailing address
1072 W PEACHTREE ST NW UNIT 77114, ATLANTA, GA 30357-3016
(404) 234-6473

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
02/19/2019
Last updated
04/17/2019
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