NPI 1801510680

Alex William Widmer, RTRVI

Practitioner Radiology Practitioner Assistant Rome, GA

Practice location

Address: 901 N Broad St NE, Rome, GA 30161-5201
Phone: (706) 291-2661
Mailing address: 17 Dublin Way NW, Adairsville, GA 30103-3505

Registered specialties (2)

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 23RRAGA0213 (GA)

Other Radiology Practitioner Assistant providers in Georgia →

Vascular-Interventional Technology Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471V0106X Licence 581533 (ND)

Other Radiologic Technologist providers in Georgia →

Registry record

NPI: 1801510680
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2022
Record last updated: 29 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.