Ganzy, Omar S

Ganzy, Omar S is an individual health care provider with primary practice located at 600 Celebrate Life Pkwy , Newnan GA 30265-8001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Ganzy, Omar S can be contacted via phone (850) 264-3477.

Contact Information

Primary practice address
600 Celebrate Life Pkwy Newnan GA 30265-8001
Phone: (850) 264-3477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN157958 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN157958 Georgia

Profile Details

NPI number 1710524764
LBN Legal business name Ganzy, Omar S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2019
Last updated Jun 27th, 2021 - about 3 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 1710524764 NPPES
Georgia Other RN157958 GEORGIA NURSING LICENSE

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