Individual
MRS. BEVERLY J OXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., P.C.
Contact information
Practice address
63 SPRINGS STATION DR, FRANKLIN SPRINGS, GA 30639
(706) 246-0733
(706) 246-0722
Mailing address
PO BOX 157, FRANKLIN SPRINGS, GA 30639-0157
(706) 246-0733
(706) 246-0722
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311838737
TAX IDENTIFICATION NUMBER
GA
05
—
546540227A
—
GA
Enumeration date
12/14/2006
Last updated
05/11/2018
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