Organization
MY OMNI HOUSECALLS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MOTLEY HATCHETT A-GNP (OWNER)
(336) 706-6614
Entity
Organization
Contact information
Practice address
10926 DAVID TAYLOR DRIVE, SUITE 120, CHARLOTTE, NC 28262
(336) 706-6614
(336) 450-1846
Mailing address
10926 DAVID TAYLOR DRIVE, SUITE 120, CHARLOTTE, NC 28262
(336) 706-6614
(336) 450-1846
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
600053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000151
—
NC
Enumeration date
04/13/2015
Last updated
10/05/2022
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