Domenick J Roma
Pulmonary Disease Critical Care Medicine
4700 Waters Ave Ste 507
Savannah
, Georgia 31404-6220
Domenick J Roma
Pulmonary Disease Critical Care Medicine
4700 Waters Ave Ste 507
Savannah
, Georgia 31404-6220
(912) 350-4751
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Domenick J Roma
- 4700 Waters Ave Ste 507
- Savannah, GA
- Zip : 31404-6220
- Fax : (912) 350-4751
- Phone : (912) 350-4750
Second Address
- Domenick J Roma
- 4700 Waters Ave Ste 507
- Savannah, GA
- Zip : 31404-6220
- Fax : (912) 350-4751
- Phone : (912) 350-4750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | 070901 | GA |
| N | 207RP1001X | Pulmonary Disease | 070901 | GA |
National Provider Identifier
| NPI | 1023278967 |
|---|---|
| Provider Name | Domenick J Roma |
| First Address | Savannah, GA 31404-6220 |
| Second Address | Savannah, GA 31404-6220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2008 |
| Last Update Date | 27/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003143431A | (05) | GA |
| GA1598 | (05) | SC |
| P01289982 | RAILROAD MEDICARE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.