Mr Michael Brandon Omar, MD/MBBS | |
3025 Shrine Rd Ste 290, Brunswick, GA 31520-4785 | |
(912) 466-7660 | |
(912) 264-1526 |
Full Name | Mr Michael Brandon Omar |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 3025 Shrine Rd Ste 290, Brunswick, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770077083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 98042 (Georgia) | Primary |
Entity Name | Cooperative Healthcare Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
Mailing Address | Practice Location Address |
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Mr Michael Brandon Omar, MD/MBBS Po Box 1213, Brunswick, GA 31521-1213 Ph: (912) 466-5000 | Mr Michael Brandon Omar, MD/MBBS 3025 Shrine Rd Ste 290, Brunswick, GA 31520-4785 Ph: (912) 466-7660 |
Avery Wade Strickland, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite #404, Brunswick, GA 31520 Phone: 912-264-1520 Fax: 912-264-1526 | |
Ms. Stephanie Irene Spencer, APRN Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7681 Fax: 912-264-2788 | |
Christopher Kolasa, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd Ste 450, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 | |
William George Grubb, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Suite 450, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 | |
Viagnehy Fernandez, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7188 Fax: 912-466-7185 | |
Jordan Ahnert, APRN Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3226 Hampton Ave Ste A, Brunswick, GA 31520 Phone: 912-264-0760 | |
Mrs. Margaret Stoakes Tuten, FNPC, CDE Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2500 Starling St, Suite 605, Brunswick, GA 31520 Phone: 912-466-5601 Fax: 912-466-5613 |