Individual
DR. OMAR AL HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 E EVANS ST, MEMORIAL HOSPITAL AND MANOR, BAINBRIDGE, GA 39819-4364
(229) 243-3361
(229) 243-3371
Mailing address
1512 E EVANS ST, MEMORIAL HOSPITAL AND MANOR, BAINBRIDGE, GA 39819-4364
(229) 243-3361
(229) 243-3371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
065987
GA
207Q00000X
Family Medicine Physician
MT191974
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109891A
—
GA
Enumeration date
07/25/2008
Last updated
12/17/2021
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