Organization
ROME ORTHOPAEDIC CLINIC ASC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT G BOWERMAN M.D. (PRESIDENT)
(706) 292-0040
Entity
Organization
Contact information
Practice address
100 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 292-0040
(706) 378-0556
Mailing address
100 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 292-0040
(706) 378-0556
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
057-410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801488384A
—
GA
Enumeration date
02/17/2009
Last updated
09/15/2010
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