# OMNI HEALTH SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356363287
- **Authorized official:** DR. CLYDE O. GREEN MD (MANAGING PARTNER)
- **Authorized official phone:** (478) 743-7805

## Contact information

- **Practice address:** 841 MULBERRY ST, MACON, GA 31201-6756
- **Practice address phone:** (478) 741-6554
- **Practice address fax:** (478) 743-7052
- **Mailing address:** 841 MULBERRY ST, MACON, GA 31201-6756
- **Mailing address phone:** (478) 741-6554
- **Mailing address fax:** (478) 743-5052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 11/09/2009