Omni Clinic PA
NPI #1790748960 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1790748960
- Entity Type
- Organization
- Organization Name
- Omni Clinic PA
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Aug 19, 2014
Practice Location
- Address
- 22 OFFICE PARK DR
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-7325
- Phone
- (910) 219-4070
Authorized Official
- Name
- MRS. TERESA BURKETT
- Title
- OFFICE SUPERVISOR
- Phone
- (910) 219-4070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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