# OASIS MEDICAL CENTER OF GEORGIA CORPORATION

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

## Provider details

- **NPI number:** 1821638149
- **Authorized official:** JOSEPHINE U ANUFORO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (404) 697-1445

## Contact information

- **Practice address:** 280 MERCHANTS SQ, DALLAS, GA 30132-5029
- **Practice address phone:** (678) 398-9758
- **Practice address fax:** (404) 692-5438
- **Mailing address:** 280 MERCHANTS SQ, DALLAS, GA 30132-5029
- **Mailing address phone:** (678) 398-9758
- **Mailing address fax:** (404) 692-5438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2020
- **Last updated:** 09/05/2024