OMEGA PHYSICIAN PRACTICE LLC

KENNESAW, GA
NPI1013658467
Entity TypeOrganization
Authorized ContactRUDOLPH DAVIS
Anesthesiologist
205-317-8437
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2022-04-07
Last Update Date2022-04-07
Business Address
OMEGA PHYSICIAN PRACTICE LLC
1300 RIDENOUR BLVD NW
KENNESAW, GA 30152-4501
Phone number: 770-702-1806
Mailing Address
OMEGA PHYSICIAN PRACTICE LLC
3927 CONCORD WALK DR SE
SMYRNA, GA 30082-3659
Phone number: 205-317-8437