# FAIRVILLE OASIS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538555867
- **Authorized official:** DR. OLUWASEYE ALABI D.O (MANAGER)
- **Authorized official phone:** (443) 852-2730

## Contact information

- **Practice address:** 600 KENSINGTON DR, APT 613, JACKSONVILLE, NC 28546-7157
- **Practice address phone:** (443) 852-2730
- **Mailing address:** 600 KENSINGTON DR, APT 613, JACKSONVILLE, NC 28546-7157
- **Mailing address phone:** (443) 852-2730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | 203620 | NC | Yes |

## Other

- **Enumeration date:** 04/14/2015
- **Last updated:** 04/14/2015