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Individual

JAMES T SMALL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN/RT(R)

Contact information

Practice address
1 WOODBINE AVE NW, ROME, GA 30165-2397
(706) 314-0019
(706) 314-0343
Mailing address
459B KRAFTSMAN RD SW, ROME, GA 30165-7943
(601) 498-4749

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN239598
GA
247100000X
Radiologic Technologist
ARRT436685
MS

Other

Enumeration date
03/17/2015
Last updated
03/17/2015
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