Individual
ANTHONY O'MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 COLLEGE ST, MCDONOUGH, GA 30253-3300
(470) 878-6401
Mailing address
545 VENTURE CT, MONTICELLO, GA 31064-7788
(706) 468-7002
(770) 898-7960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
063386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003146947D
—
GA
01
—
12022600
CAQH
—
Enumeration date
03/04/2008
Last updated
05/16/2019
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