Khari A Omolara Pc | |
317 Highland Blvd Ste S Natchez MS 39120-4636 | |
(601) 445-1922 | |
(601) 445-1923 |
Full Name | Khari A Omolara Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 317 Highland Blvd Ste S, Natchez, Mississippi |
Authorized Official Name and Position | Khari Abayomi Omolara (PRESIDENT) |
Authorized Official Contact | 6015739471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Khari A Omolara Pc Po Box 3129 Brookhaven MS 39603-7129 Ph: (601) 445-1922 | Khari A Omolara Pc 317 Highland Blvd Ste S Natchez MS 39120-4636 Ph: (601) 445-1922 |
NPI Number | 1205981578 |
---|---|
Provider Enumeration Date | 01/24/2007 |
Last Update Date | 11/15/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205981578 | NPI | - | NPPES |
00126454 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 17619 (Mississippi) | Primary |
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