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1669097770
NIVIN OMAR
AUGUSTA, GA
NPI
1669097770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA 12006)
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
NIVIN OMAR MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-5118
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Mailing Address
NIVIN OMAR MD
2315 MALONE WAY
EVANS, GA 30809-5313
Phone number:
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