Organization
FLOYD COUNTY HEALTH DEPARTMENT
Active
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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