Omega Physician Practice Llc

LBN: Omega Physician Practice Llc
Omega Physician Practice Llc is an health care organization with primary practice located at 1300 Ridenour Blvd Nw , Kennesaw GA 30152-4501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Omega Physician Practice Llc can be contacted via phone (770) 702-1806, or through Davis, Rudolph via phone (205) 317-8437.

Contact Information

Primary practice address
1300 Ridenour Blvd Nw Kennesaw GA 30152-4501
Phone: (770) 702-1806
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Rudolph MD MPH
Phone: (205) 317-8437

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1013658467
LBN Legal business name Omega Physician Practice Llc
DBA Doing business as
Authorized official Davis, Rudolph MD MPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2022
Last updated Apr 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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