LARRY HUGH FORMBY

ROME, GA
NPI1821082124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: GA  19043)
Enumeration Date2005-09-01
Last Update Date2009-11-23
Business Address
-- LARRY HUGH FORMBY MD
1013 N 5TH AVE NE STE ONE
ROME, GA 30165-2664
Phone number: 706-295-2393
Mailing Address
-- LARRY HUGH FORMBY MD
1013 N 5TH AVE NE STE ONE
ROME, GA 30165-2664
Phone number: 706-295-2393
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