Organization
OMNIHEALTH MEDICAL GROUP, PA
Active
Parent organization
OMNIHEALTH MEDICAL GROUP, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNIHEALTH MEDICAL GROUP, PA
Authorized official
CATHY BELK MD (MEDICAL DIRECTOR)
(704) 784-4445
Entity
Organization
Contact information
Practice address
70 LAKE CONCORD RD NE, SUITE 100, CONCORD, NC 28025-3057
(704) 784-4445
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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