Provider Demographics
NPI:1093694572
Name:ROMIGH, EMMA (PA)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:ROMIGH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:1930 BRANNAN RD
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-4310
Mailing Address - Country:US
Mailing Address - Phone:678-284-4040
Mailing Address - Fax:
Practice Address - Street 1:1336 HWY 54W
Practice Address - Street 2:BLDG. 100, SUITE 100
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214
Practice Address - Country:US
Practice Address - Phone:770-460-9777
Practice Address - Fax:678-610-3462
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA1234573363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant