NPI 1962779561 · live from the CMS NPI Registry
1st Call Surgical Services
Physician Assistant, Surgical in Rome, GA. National Provider Identifier 1962779561, active.
NPI record
| NPI | 1962779561 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 205 Myrtle St Sw, Rome, GA 30161 |
| Practice phone | 888-265-9908 |
| Mailing address | Po Box 492, Redan, GA 30074 |
| Enumerated | November 27, 2011 |
| Last updated | November 27, 2011 |
| Authorized official | Ralph Dumas, Owner, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.