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Dr. Gregory Rusiecki, DO
Student in an Organized Health Care Education/Training Program in Rome, Georgia
NPI 1982229175

Gregory Rusiecki is a Student in an Organized Health Care Education/Training Program based in Rome, GA. Gregory Rusiecki practices in Rome, GA and has the professional credentials of DO. The NPI Number for Gregory Rusiecki is 1982229175 and holds a License No. 97133 (Georgia).

The current practice location address for Gregory Rusiecki is 123 Three Rivers Dr Ne, Rome, GA and can be reached out via phone at 706-295-3961.

Location: 123 Three Rivers Dr Ne, Rome, GA, 30165-5621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982229175
Provider Name
Gregory Rusiecki
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
123 Three Rivers Dr Ne, Rome, GA, 30165-5621
Phone Number
706-295-3961
Fax Number
Provider Enumeration Date
06/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
123 Three Rivers Dr Ne
City
Rome
State
Georgia
Zip
30161-2300
Phone Number
706-295-3961
Fax Number
person
Provider Business Mailing Address Details
Address
123 Three Rivers Dr Ne
City
Rome
State
Georgia
Zip
30161-2300
Phone Number
706-295-3961
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
12024 (Georgia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
97133 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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