Individual
MICHAEL O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 435-6666
Mailing address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E1943661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1943661
NREMT
TX
Enumeration date
10/31/2014
Last updated
10/31/2014
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