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Organization
OASIS PRIMARY CARE CLINIC
Active
Organization
OASIS PRIMARY CARE CLINIC
Active
Other names
Oasis Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ZEBULON FOREMAN NP (OWNER)
(770) 757-3481
Entity
Organization
Contact information
Practice address
6194 STANLEY DR, DOUGLASVILLE, GA 30134-3704
(770) 757-3481
Mailing address
6194 STANLEY DR, DOUGLASVILLE, GA 30134-3704
(770) 757-3481
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN208570
GA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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