# OASIS HEALTHCARE SERVICE

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

## Provider details

- **NPI number:** 1912514969
- **Authorized official:** TROY TAYLOR (CEO)
- **Authorized official phone:** (678) 927-6744

## Contact information

- **Practice address:** 2195 PACE ST STE E, COVINGTON, GA 30014-6657
- **Practice address phone:** (470) 444-1005
- **Practice address fax:** (866) 983-3188
- **Mailing address:** 2195 PACE ST STE E, COVINGTON, GA 30014-6657
- **Mailing address phone:** (470) 444-1005
- **Mailing address fax:** (866) 983-3188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 09/24/2020
