Omega Family Medicine, Llc

NPI 1184021933 - Family Medicine - 207Q00000X

NPI Details
NPI 1184021933
Enumeration Date 11/21/2014
Last Updated 11/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RICHARD ANTHONY RICHARD
Position OWNER/PRESIDENT
Phone (229) 528-6500
Fax
Practice Location
130 MOORE ST
OMEGA GA, 31775-3075, US
Phone (229) 528-6500
Fax
Business Location
4741 BLACKWATER DR
VALDOSTA GA, 31602-4983, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Omega Family Medicine, Llc NPI is 1184021933, taxonomy code is 207Q00000X Omega Family Medicine, Llc physically located at 130 Moore St, Omega GA, 31775-3075. NPI Number 1033115704 has the healthcare provider type.

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1184021933 NPI number is provided on an as is basis without warranty of any kind. 1184021933 is maintained by the National Plan & Provider Enumeration System. The contents of Omega Family Medicine, Llc are for informational purposes only.