Individual
JONATHAN PATRICK OAKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 GRAND HAVEN DR, TUSCUMBIA, AL 35674-9133
(928) 279-8944
Mailing address
134 GRAND HAVEN DR, TUSCUMBIA, AL 35674-9133
(928) 279-8944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1649
AL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/08/2020
Last updated
07/27/2020
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