Charles S O'Mara, M.D. Valid NPI

Individual provider · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Jackson, MS

NPI

1215088364

Type

Individual (Type 1)

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Thoracic Surgery (Cardiothoracic Vascular Surgery))

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208G00000X

License number

09537 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-16

Last updated

2015-05-12