Organization
MICHAEL OMALLEY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OMALLEY M.D. (PRESIDENT)
(931) 484-0048
Entity
Organization
Contact information
Practice address
436 CENTRAL AVE WEST, JAMESTOWN, TN 38556-3031
(931) 879-8171
Mailing address
PO BOX 1049, CROSSVILLE, TN 38557-1049
(931) 484-0048
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
06/05/2008
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