Organization
FLOYD COUNTY HEALTH DEPARTMENT
Active
Other names
NW GA Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER WADE SELLERS M.D. (MEDICAL DIRECTOR)
(706) 295-6704
Entity
Organization
Contact information
Practice address
16 EAST 12TH STREET, SUITE 202, ROME, GA 30161-4720
(706) 295-6701
(706) 295-6697
Mailing address
16 EAST 12TH STREET, SUITE 202, ROME, GA 30161-4720
(706) 295-6701
(706) 295-6697
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
025271
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428205D
—
GA
05
—
000505733D
—
GA
Enumeration date
02/09/2007
Last updated
03/30/2011
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