Organization
OMNI CLINIC SYLCAUGA
Active
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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