Organization
OMEGA INTEGRATIVE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLLE MARTIN (OWNER)
(678) 948-5288
Entity
Organization
Contact information
Practice address
4170 SWEETWATER FLS, ELLENWOOD, GA 30294-1559
(678) 948-5288
(470) 735-0472
Mailing address
925B PEACHTREE ST NE UNIT 500, ATLANTA, GA 30309-3918
(678) 948-5288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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