Healthcare Provider Details

I. General information

NPI: 1285542209
Provider Name (Legal Business Name): OMARA HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 STONECREST BLVD STE 105
TEGA CAY SC
29708-6639
US

IV. Provider business mailing address

1180 STONECREST BLVD STE 105
TEGA CAY SC
29708-6639
US

V. Phone/Fax

Practice location:
  • Phone: 839-777-3864
  • Fax:
Mailing address:
  • Phone: 839-777-3864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAY MUKESH PATEL
Title or Position: OWNER
Credential: DO
Phone: 839-777-3864