Organization
OMNI CLINIC SYLCAUGA
Active
Parent organization
OMNI CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNI CLINIC
Authorized official
ADE LADIPO (DR)
(256) 236-3031
Entity
Organization
Contact information
Practice address
303 N MAIN AVE, SYLACAUGA, AL 35150-2629
(256) 245-9140
Mailing address
PO BOX 1308, SYLACAUGA, AL 35150-1308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417055179
ABAYOMI SANUSI MD,NPI NUM
AL
01
—
1972601607
ADETOKUNBO LADIPO MD. NPI
AL
Enumeration date
05/24/2007
Last updated
07/24/2007
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