Individual
DR. REBECCA L. OMLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-00248
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2016-00248
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2013
Last updated
03/17/2018
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