Individual
ADAM WAEL OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10905 PROVIDENCE RD W STE 270, CHARLOTTE, NC 28277-1538
(704) 316-3410
(704) 316-3420
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11624
NC
Other
Enumeration date
03/29/2021
Last updated
11/14/2024
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