1053480319 NPI number — MELINDA OXENFORD PT, DPT

Table of content: MELINDA OXENFORD PT, DPT (NPI 1053480319)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053480319 NPI number — MELINDA OXENFORD PT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OXENFORD
Provider First Name:
MELINDA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053480319
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1866 LONG CREEK FLS
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GROVETOWN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30813-5823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-869-8982
Provider Business Mailing Address Fax Number:
706-869-8982

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3626 WALTON WAY EXT
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30909-6421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-854-9850
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT008362 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PT008362 . This is a "STATE LISC NUMBER" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com