Organization
OMNI HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE O. GREEN MD (MANAGING PARTNER)
(478) 743-7805
Entity
Organization
Contact information
Practice address
841 MULBERRY ST, MACON, GA 31201-6756
(478) 741-6554
(478) 743-7052
Mailing address
841 MULBERRY ST, MACON, GA 31201-6756
(478) 741-6554
(478) 743-5052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
11/09/2009
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