# OASIS PHYSICAL MEDICINE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oasis Physical Medicine & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023338290
- **Authorized official:** DR. BEATRICE GAMBLE D.C. (PRESIDENT)
- **Authorized official phone:** (803) 786-2300

## Contact information

- **Practice address:** 4010 NORTH MAIN STREET, SUITE 2, COLUMBIA, SC 29203-5848
- **Practice address phone:** (803) 786-2300
- **Practice address fax:** (803) 786-1307
- **Mailing address:** 4010 NORTH MAIN STREET, COLUMBIA, SC 29203-5848
- **Mailing address phone:** (803) 786-2300
- **Mailing address fax:** (803) 786-1307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1043 | SC | — |
| 111N00000X | Chiropractor | 2604 | SC | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 12/09/2015