Organization
KHARI A OMOLARA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHARI ABAYOMI OMOLARA M.D. (PRESIDENT)
(601) 573-9471
Entity
Organization
Contact information
Practice address
317 HIGHLAND BLVD STE S, NATCHEZ, MS 39120-4636
(601) 445-1922
(601) 445-1923
Mailing address
PO BOX 3129, BROOKHAVEN, MS 39603-7129
(601) 445-1922
(601) 445-1923
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17619
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126454
—
MS
Enumeration date
01/24/2007
Last updated
11/15/2017
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