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Individual
NIVIN A OMAR
Active
Individual
NIVIN A OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
104094
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
104094
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12006
GA
Other
Enumeration date
06/15/2020
Last updated
09/15/2026
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