Individual provider · Type 1 NPI

Omar S. Queensbourrow, PA

Medical Physician Assistant · Atlanta, GA

NPI number 1841534591 Active

Practice location

5185 Old National Hwy
Atlanta, GA 30349-3244

Call (404) 763-9300 Map

Fax (404) 763-9306

Mailing address

198 Greenview Ter
Macon, GA 31220-8755

Other practice locations

  • 6053 Jonesboro Rd, Morrow, GA 30260-1106 · (770) 824-4343

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA 9106708 (FL)
Medical Physician Assistant Primary 363AM0700X006678 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1841534591

Omar S. Queensbourrow, PA's National Provider Identifier is 1841534591, issued on Nov 19, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Aug 4, 2021.