Organization
ALISA OATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA OATES (LPN)
(478) 978-2825
Entity
Organization
Contact information
Practice address
116 FAYBROOK DR, BYRON, GA 31008-9530
(478) 978-2825
Mailing address
116 FAYBROOK DR, BYRON, GA 31008-9530
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
LPN070308
GA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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