MEDICARE: DR. OMAR AL HADDAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MT191974	PA
2	207Q00000X	Family Medicine Physician	065987	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598920951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMAR AL HADDAD MD

Provider Business Mailing Address
First Line	:	1512 E EVANS ST
Second Line	:	MEMORIAL HOSPITAL AND MANOR
City	:	BAINBRIDGE
State	:	GA
Zip	:	39819-4364
Country	:	US
Telephone Number	:	229-243-3361
Fax Number	:	229-243-3371

Provider Business Practice Location Address
First Line	:	1512 E EVANS ST
Second Line	:	MEMORIAL HOSPITAL AND MANOR
City	:	BAINBRIDGE
State	:	GA
Zip	:	39819-4364
Country	:	US
Telephone Number	:	229-243-3361
Fax Number	:	229-243-3371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	12/17/2021

Similar Medicare Providers

1154389369 — DR. CHARLES ANDREW WALKER M.D.
Practice Location Address:

1502 E EVANS ST
BAINBRIDGE, GA
39819-4364

Practice Phone: 229-243-1700
Practice Fax: 229-246-9322

1881648681 — GORDON CHASON MILLER M.D.
Practice Location Address:

1506 E EVANS ST
BAINBRIDGE, GA
39819-4364

Practice Phone: 229-243-0740
Practice Fax: 229-243-7384

1780610584 — RICHARD D ZLOTNIK MD
Practice Location Address:

1502 E EVANS ST
BAINBRIDGE, GA
39819-4364

Practice Phone: 229-243-1700
Practice Fax:

1437218112 — JAMES SYDNEY COCHRAN M.D.
Practice Location Address:

1504 E EVANS ST
BAINBRIDGE, GA
39819-4364

Practice Phone: 229-246-6600
Practice Fax:

1841320801 — SOUTH ALBANY PHARMACY
Practice Location Address:

1508 E EVANS ST
BAINBRIDGE, GA
39819-4364

Practice Phone: 229-246-7733
Practice Fax: 229-246-7968

1225274558 — J. SYDNEY COCHRAN,MDPC
Practice Location Address:

1504 E EVANS ST
BAINBRIDGE, GA
39819-4364

Practice Phone: 229-246-6600
Practice Fax: 229-246-9322

Directions to “ DR. OMAR AL HADDAD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.