NPI 1659625911
Omar Queensbourrow
Practice location
- Address
- 305 Hospital Drive, Macon, GA 31217
- Phone
- (478) 746-4646
- Mailing address
- 305 Hospital Drive APT 106, Macon, GA 31217
Authorised official
- Name
- Omar Queensbourrow
- Title
- Physician Assistant
- Phone
- (800) 507-8874
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1659625911
- Entity type
- Organization
- NPI issued
- 7 Nov 2012
- Record last updated
- 19 Nov 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.