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Trent Lorne Prault, MD
Vascular Surgery Physician in Rome, Georgia
NPI 1992746747

Trent Lorne Prault is a Vascular Surgery Physician based in Rome, GA and is specialized in Vascular Surgery. Trent Lorne Prault practices in Rome, GA and has the professional credentials of MD. The NPI Number for Trent Lorne Prault is 1992746747 and holds a License No. 058103 (Georgia).

The current practice location address for Trent Lorne Prault is 550 Redmond Rd Nw, Rome, GA and can be reached out via phone at 706-233-8508 and via fax at 706-233-8509.

Location: 550 Redmond Rd Nw, Rome, GA, 30165-1369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992746747
Provider Name
Trent Lorne Prault
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
550 Redmond Rd Nw, Rome, GA, 30165-1369
Phone Number
706-233-8508
Fax Number
706-233-8509
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
057976876A 05 GA
institution
Provider Business Practice Location Address Details
Address
550 Redmond Rd Nw
City
Rome
State
Georgia
Zip
30165-1416
Phone Number
706-233-8508
Fax Number
706-233-8509
person
Provider Business Mailing Address Details
Address
550 Redmond Rd Nw
City
Rome
State
Georgia
Zip
30165-1416
Phone Number
706-233-8508
Fax Number
706-233-8509
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
058103 (Georgia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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