Organization
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Active
Other names
Northwest Georgia Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MULLER M.D. (CLINICAL DIRECTOR)
(706) 295-6285
Entity
Organization
Contact information
Practice address
705 N DIVISION ST NW, ROME, GA 30165-1454
(706) 295-6298
Mailing address
705 N DIVISION ST NW, ROME, GA 30165-1454
(706) 295-6298
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
057013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142172A
—
GA
01
—
112002GA
MEDICARE PART B
GA
Enumeration date
05/27/2009
Last updated
01/29/2010
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