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Organization

PREMIERCARE OMEGA

Active
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Organization

PREMIERCARE OMEGA

Active
Other names
Premiercare Omega LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT CLYDE BOWMAN MD (PRESIDENT)
(229) 387-4802
Entity
Organization

Contact information

Practice address
130 MOORE ST, OMEGA, GA 31775-3075
(229) 528-6500
(229) 528-3283
Mailing address
130 MOORE ST, OMEGA, GA 31775-3075
(229) 528-6500
(229) 528-3283

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
03/23/2020
Last updated
05/05/2020
About Stedi
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