Individual
PHILIP A. ROMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 WALTHER RD, LAWRENCEVILLE, GA 30045-8725
(770) 962-0399
(770) 995-0533
Mailing address
755 WALTHER RD, LAWRENCEVILLE, GA 30046-8725
(770) 962-0399
(770) 995-0533
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34235
GA
207RI0011X
Interventional Cardiology Physician
Primary
34235
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00489156A
—
GA
Enumeration date
09/21/2005
Last updated
04/20/2021
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