Provider Demographics
NPI:1477724250
Name:THE PHYSICIANS ROME SURGERY CENTER
Entity Type:Organization
Organization Name:THE PHYSICIANS ROME SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-816-3000
Mailing Address - Street 1:18 RIVERBEND DR SW
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-6013
Mailing Address - Country:US
Mailing Address - Phone:706-314-1910
Mailing Address - Fax:706-314-1901
Practice Address - Street 1:18 RIVERBEND DR SW
Practice Address - Street 2:SUITE 150
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-6013
Practice Address - Country:US
Practice Address - Phone:706-314-1910
Practice Address - Fax:706-314-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057379261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003203212AMedicaid