Queensbourrow, Omar S
Queensbourrow, Omar S is an individual health care provider with primary practice located at 5185 Old National Hwy , Atlanta GA 30349-3244. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Queensbourrow, Omar S can be contacted via phone (404) 763-9300.Contact Information
Primary practice address
5185 Old National Hwy
Atlanta GA 30349-3244
Phone: (404) 763-9300
Fax: (404) 763-9306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 9106708 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 006678 | Georgia |
Profile Details
| NPI number | 1841534591 |
|---|---|
| LBN Legal business name | Queensbourrow, Omar S |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2012 |
| Last updated | Aug 4th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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