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JEREMY ROMINE PA
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1457626111
Individual Registrant: JEREMY ROMINE PA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3257 CHATTANOOGA VLY RD FLINTSTONE, GA 30725-2387 US
Tel: 706-841-7800 Fax: 706-841-7700
Tel: 706-841-7800 Fax: 706-841-7700
Contact information for business:
443 BATTLE LINE DR ROCKY FACE, GA 30740-8925 US
Tel: 205-265-9488 Fax: --
Tel: 205-265-9488 Fax: --
Registration Information:
NPI: 1457626111
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | AL | PA.771 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
