Alisa Oates

NPI #1114450749 in Byron, Georgia

Provider Information

NPI Number: 1114450749
Entity Type: Organization
Organization Name: Alisa Oates
Primary Specialty: Special Hospital
Enumeration Date: Apr 11, 2017
Last Updated: Apr 11, 2017

Practice Location

Address: 116 FAYBROOK DR
City: Byron
State: Georgia
ZIP Code: 31008-9530
Phone: (478) 978-2825

Authorized Official

Name: ALISA OATES
Title: LPN
Phone: (478) 978-2825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Special Hospital	284300000X	Primary

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