Individual
MELINDA OXENFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3626 WALTON WAY EXT, SUITE D, AUGUSTA, GA 30909-6421
(706) 854-9850
Mailing address
1866 LONG CREEK FLS, GROVETOWN, GA 30813-5823
(706) 869-8982
(706) 869-8982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008362
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT008362
STATE LISC NUMBER
GA
Enumeration date
11/08/2006
Last updated
07/08/2007
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