| Oasis Skincare ,llc | |
|
1101 Cook Rd Orangeburg SC 29118-8204 | |
| (803) 535-3961 | |
| (803) 535-3962 |
| Full Name | Oasis Skincare ,llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1101 Cook Rd, Orangeburg, South Carolina |
| Authorized Official Name and Position | Patricia Ellen Riddle (MEDICAL DIRECTOR (OWNER)) |
| Authorized Official Contact | 8035353961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Skincare ,llc 1101 Cook Rd Orangeburg SC 29118-8204 Ph: (803) 535-3961 | Oasis Skincare ,llc 1101 Cook Rd Orangeburg SC 29118-8204 Ph: (803) 535-3961 |
| NPI Number | 1801059928 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801059928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 19256 (South Carolina) | Primary |
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