Individual
DR. MOHAMED BEN OMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, GRU, DEPARTMENT OF ANESTHESIOLOGY, AUGUSTA, GA 30912-0004
(706) 721-3873
(706) 721-7763
Mailing address
151 VERSAILLES CIR APT B, TOWSON, MD 21204-6936
(617) 953-8493
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
74217
GA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
74217
GA
Other
Enumeration date
08/16/2010
Last updated
07/09/2015
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