Al Haddad, Omar

Al Haddad, Omar is an individual health care provider with primary practice located at 1512 E Evans St Memorial Hospital And Manor, Bainbridge GA 39819-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Al Haddad, Omar can be contacted via phone (229) 243-3361.

Contact Information

Primary practice address
1512 E Evans St Memorial Hospital And Manor Bainbridge GA 39819-4364
Phone: (229) 243-3361
Fax: (229) 243-3371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT191974 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 065987 Georgia

Profile Details

NPI number 1598920951
LBN Legal business name Al Haddad, Omar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated Dec 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598920951 NPPES
Georgia MEDICAID 003109891A

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