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Contact Information

MOHAMED BEN OMRAN
1120 15TH ST
GRU, DEPARTMENT OF ANESTHESIOLOGY
AUGUSTA, GA30912-0004
 Phone: 706-721-3873
 Fax: 706-721-7763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MOHAMED BEN OMRAN · (Male)

NPI # 1518272459
Status Active
Credentials
Entity Individual
Enumeration date 08/16/2010
Last updated 07/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 74217
Hospital affiliation(s)
  • MEDICAL COLLEGE OF GA HOSPITALS AND CLINICS - (Acute Care)
    1120 15TH STREET
    AUGUSTA, GA 30912
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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