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Individual

DR. PATRICK JAMES OMESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
56913
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34BDDPV
MEDICARE
GA
01
52198501-002
BCBS
GA
05
918810376C
GA
05
918810376D
GA
05
918810376E
GA
Enumeration date
08/09/2006
Last updated
05/29/2012
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