Organization
OXYOASIS, LLC
Active
Parent organization
-
Other names
St Lukes Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
MELANIE L COOPER MD (CEO)
(678) 613-3213
Entity
Organization
Contact information
Practice address
1631 ATLANTA RD, GAINESVILLE, GA 30504-5942
(770) 718-1517
(770) 718-1518
Mailing address
1631 ATLANTA RD, GAINESVILLE, GA 30504-5942
(770) 718-1517
(770) 718-1518
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000800588K
—
GA
Enumeration date
03/11/2008
Last updated
04/03/2018
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