Organization
OASIS PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREEN B NEAL M.D. (MEDICAL DIRECTOR)
(803) 786-0559
Entity
Organization
Contact information
Practice address
4010 N MAIN ST, SUITE 2, COLUMBIA, SC 29203-5848
(803) 786-0559
(803) 786-1307
Mailing address
4010 N MAIN ST, SUITE 2, COLUMBIA, SC 29203-5848
(803) 786-0559
(803) 786-1307
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
533818
PA
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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