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Organization

NW GA REGIONAL HOSPITAL

Active
Parent organization
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
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

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
057013
GA

Other

Enumeration date
07/02/2009
Last updated
07/23/2009
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