| Omega Family Medicine, Llc | |
|
130 Moore St Omega GA 31775-3075 | |
| (229) 528-6500 | |
| Not Available |
| Full Name | Omega Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Moore St, Omega, Georgia |
| Authorized Official Name and Position | Richard Anthony Ambrozic (OWNER/PRESIDENT) |
| Authorized Official Contact | 2295286500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Family Medicine, Llc 4741 Blackwater Dr Valdosta GA 31602-4983 Ph: () - | Omega Family Medicine, Llc 130 Moore St Omega GA 31775-3075 Ph: (229) 528-6500 |
| NPI Number | 1184021933 |
|---|---|
| Provider Enumeration Date | 11/21/2014 |
| Last Update Date | 11/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184021933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Premiercare Omega Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Moore St, Omega, GA 31775 Phone: 229-528-6500 Fax: 229-528-3283 |