Basic Information
| Provider Information | |||||||||
| NPI: | 1598902124 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OASIS HYPERBARICS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1156 BOWMAN RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | MOUNT PLEASANT | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294643803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436547337 | ||||||||
| FaxNumber: | 8436547336 | ||||||||
| Practice Location | |||||||||
| Address1: | 1156 BOWMAN RD | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | MOUNT PLEASANT | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294643803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436547337 | ||||||||
| FaxNumber: | 8436547336 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2009 | ||||||||
| LastUpdateDate: | 03/23/2009 | ||||||||
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| AuthorizedOfficialLastName: | BRITTAIN | ||||||||
| AuthorizedOfficialFirstName: | ERIC | ||||||||
| AuthorizedOfficialMiddleName: | STEWART | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8436547337 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2500X | SC | Y | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No ID Information.