Organization
UNIHEALTH SOLUTIONS OF NORTHWEST GEORGIA, INC.
Active
Other names
UniHealth SOURCE - Rome
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L. PRUITT JR. (CHAIRMAN AND CEO)
(770) 925-1143
Entity
Organization
Contact information
Practice address
39 THREE RIVERS DR NE, ROME, GA 30161-4998
(706) 236-4705
Mailing address
39 THREE RIVERS DR NE, ROME, GA 30161-4998
(706) 236-4705
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085500800R
—
GA
Enumeration date
12/21/2006
Last updated
03/20/2012
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