Family Practice & Surgery

NPI 1780836064 - General Practice - 208D00000X

NPI Details
NPI 1780836064
Enumeration Date 10/17/2008
Last Updated 10/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name OMAR OMAR
Position SOLE MER
Phone (706) 485-4002
Fax (706) 485-7117
Practice Location
120 SPARTA HWY
EATONTON GA, 31024-8484, US
Phone (706) 485-4002
Fax (706) 485-7117
Business Location
446 SPRING ST
P.O. BOX 485
SPARTA GA, 31087-1983, US
Phone (706) 444-6521
Fax (706) 444-6839
Toxanomy
Taxonomy Code 208D00000X
License State Georgia
License Number 020504
Remove 1780836064 NPI Number
 

According to our database, Family Practice & Surgery NPI is 1780836064, taxonomy code is 208D00000X and license number is 020504, license state is located at Georgia. Family Practice & Surgery physically located at 120 Sparta Hwy, Eatonton GA, 31024-8484. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1780836064 NPI number is provided on an as is basis without warranty of any kind. 1780836064 is maintained by the National Plan & Provider Enumeration System. The contents of Family Practice & Surgery are for informational purposes only.