# OASIS PRIMARY CARE CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Oasis Primary Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376050773
- **Authorized official:** ZEBULON FOREMAN NP (OWNER)
- **Authorized official phone:** (770) 757-3481

## Contact information

- **Practice address:** 6194 STANLEY DR, DOUGLASVILLE, GA 30134-3704
- **Practice address phone:** (770) 757-3481
- **Mailing address:** 6194 STANLEY DR, DOUGLASVILLE, GA 30134-3704
- **Mailing address phone:** (770) 757-3481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | RN208570 | GA | Yes |

## Other

- **Enumeration date:** 01/08/2018
- **Last updated:** 01/08/2018