Search › Georgia › 208800000X
Larry Formby, MD
NPI 1821082124 · on the registry since 2005
Practice
- Address
- 1013 N 5th Ave Ne
Ste One
Rome, GA 30165 - Phone
- (706) 295-2393
- Fax
- (706) 290-1101
- Organisation at this address
- Gary L Smith Od Pc
Weldon Dental, P.C.
Rome Optical Company Inc
Legacy Brain & Spine Llc
Rogers Counseling ServiceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia