Search › Georgia › 207R00000X
Irene Omotoso, MD
NPI 1205848785 · on the registry since 2006 · sole proprietor
Practice
- Address
- 112 Governors Sq Ste B
Peachtree City, GA 30269 - Phone
- (678) 932-8112
- Fax
- (678) 932-8113
- Organisation at this address
- Waterfalls Medical Practice, P.C
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 401 Westpark Ct Ste 200, Peachtree City, GA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia