Organization
OMEGA FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ANTHONY AMBROZIC M.D. (OWNER/PRESIDENT)
(229) 528-6500
Entity
Organization
Contact information
Practice address
130 MOORE ST, OMEGA, GA 31775-3075
(229) 528-6500
Mailing address
4741 BLACKWATER DR, VALDOSTA, GA 31602-4983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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