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1710563010
OMNI MEDICAL GROUP LLC
DECATUR, GA
NPI
1710563010
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Entity Type
Organization
Authorized Contact
DYLON ROSS
Manager
678-705-1308
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-03-18
Last Update Date
2021-04-20
Business Address
OMNI MEDICAL GROUP LLC
4153 FLAT SHOALS PKWY STE 300C
DECATUR, GA 30034-4106
Phone number: 404-386-6510
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Mailing Address
OMNI MEDICAL GROUP LLC
4153 FLAT SHOALS PKWY STE 300C
DECATUR, GA 30034-4106
Phone number: 404-386-6510
Copy
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