Individual
MR. OMAR A ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD, CRITICAL CARE DEPARTMENT, ATLANTA, GA 30342-1764
(678) 843-7001
Mailing address
3105 BYWATER TRL, ROSWELL, GA 30075-6703
(786) 362-1954
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6996
GA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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