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Organization
OMEGA MEDICAL AND AESTHETICS PLLC
Active
Organization
OMEGA MEDICAL AND AESTHETICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KELLY (OWNER, NP)
(423) 754-9648
Entity
Organization
Contact information
Practice address
239 CLIFFORD PRICE LOOP, MOORESBURG, TN 37811-2337
(978) 906-0418
Mailing address
239 CLIFFORD PRICE LOOP, MOORESBURG, TN 37811-2337
(423) 839-0036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
11/07/2025
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