Organization
OMNI MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DYLON ROSS (MANAGER)
(678) 705-1308
Entity
Organization
Contact information
Practice address
4153 FLAT SHOALS PKWY STE 300C, DECATUR, GA 30034-4106
(404) 386-6510
(404) 500-2097
Mailing address
4153 FLAT SHOALS PKWY STE 300C, DECATUR, GA 30034-4106
(404) 386-6510
(404) 500-2097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
04/20/2021
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