person
Omar S Queensbourrow, PA
Medical Physician Assistant in Atlanta, Georgia
NPI 1841534591

Omar S Queensbourrow is a Medical Physician Assistant based in Macon, GA and is specialized in Medical. Omar S Queensbourrow practices in Atlanta, GA and has the professional credentials of PA. The NPI Number for Omar S Queensbourrow is 1841534591 and holds a License No. PA 9106708 (Georgia).

The current practice location address for Omar S Queensbourrow is 5185 Old National Hwy, Atlanta, GA and can be reached out via phone at 404-763-9300 and via fax at 404-763-9306.

Location: 5185 Old National Hwy, Atlanta, GA, 31220-8755
person
Provider Profile Details
NPI Number
1841534591
Provider Name
Omar S Queensbourrow
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5185 Old National Hwy, Atlanta, GA, 31220-8755
Phone Number
404-763-9300
Fax Number
404-763-9306
Provider Enumeration Date
11/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5185 Old National Hwy
City
State
Zip
30349-3244
Phone Number
404-763-9300
Fax Number
404-763-9306
person
Provider Business Mailing Address Details
Address
5185 Old National Hwy
City
State
Zip
30349-3244
Phone Number
404-763-9300
Fax Number
404-763-9306
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 9106708 (Florida)
Definition
Definition to come...
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