Organization
OSCAR MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGWEBUIKE ONYEKABA MD (MEDICAL DIRECTOR)
(470) 355-2340
Entity
Organization
Contact information
Practice address
3375 MEMORIAL DR, DECATUR, GA 30032-2706
(470) 355-2340
(470) 355-2347
Mailing address
3055 OAK HAMPTON WAY, DULUTH, GA 30096-5855
(470) 355-2340
(470) 355-2347
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
039650
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149139A
—
GA
Enumeration date
06/17/2014
Last updated
07/14/2015
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