Organization
OASIS PRIMARY CARE CLINIC
Active
Other names
Oasis Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ZEBULON FOREMAN NP (OWNER)
(770) 757-3481
Entity
Organization
Contact information
Practice address
6194 STANLEY DR, DOUGLASVILLE, GA 30134-3704
(770) 757-3481
Mailing address
6194 STANLEY DR, DOUGLASVILLE, GA 30134-3704
(770) 757-3481
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN208570
GA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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