Individual
MRS. REBECCA ANNE PHROMMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
Mailing address
131 BENTONVILLE LN, DOUGLASVILLE, GA 30134-6300
(678) 200-3281
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
—
FL
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
06/22/2019
Last updated
07/27/2019
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