Omar Alwan, M.D.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dalton, GA
NPI 1548050875 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1548050875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1432 Broadrick Dr.
Dalton, GA 30720 - Phone
- (706) 226-8990
- Fax
- (706) 529-5317
- NPI assigned
- May 9, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1432 Broadrick Dr.
Dalton, GA 30720
Mailing address
1200 Memorial Drive
Dalton, GA 30720
Other providers in Dalton, GA
- Maya Alsadi
- Shonna Marie Alston
- April Marie Alvarado-Clark
- Daniel Alvarez
- Trevor Lee Alverson
- Amedisys Georgia LLC
- America'S Best Contacts & Eyeglasses
- American Current Care P.a.
- Ameripartner Inc.
- Abdulrahman Sari Amro
All providers in Dalton, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.