According to our database, the NPI number for Omar Dwayne Jack PA-C is 1144662909 and activated since 10 years ago. Omar Dwayne Jack PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 1061 Harmon Ave, Fort Stewart, GA 31314. You can also contact Omar Dwayne Jack PA-C via telephone number is (912) 435-6633. Provider NPI information was last updated on 07/22/2013.

Recently Active NPIs

Overview of Omar Dwayne Jack PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/22/2013
  • Last updated: 07/22/2013

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 1109724
  • License State: GA

Provider Mailing Address

  • Address: 1061 Harmon Ave
    Fort Stewart, GA 31314
  • Phone: 912-435-6633
  • Fax:

Provider Practice Location

  • Address: 1061 Harmon Ave
    Fort Stewart, GA 31314
  • Phone: 912-435-6633
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 1109724
  • License State: GA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Omar Dwayne Jack PA-C?
  • A: The npi number for Omar Dwayne Jack PA-C is 1144662909.
  • Q: What are Omar Dwayne Jack PA-C's specialties?
  • A: Omar Dwayne Jack PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Omar Dwayne Jack PA-C?
  • A: The medical license number for Omar Dwayne Jack PA-C is 1109724 and issued in GA in USA.
  • Q: Where is Omar Dwayne Jack PA-C practice location?
  • A: Omar Dwayne Jack PA-C is practicing at 1061 Harmon Ave, Fort Stewart, GA 31314.
  • Q: How to contact Omar Dwayne Jack PA-C?
  • A: You can contact Omar Dwayne Jack PA-C via 912-435-6633.