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NPI Code Detail

MEDICARE: SHIRLEY DENISE OXNER

MEDICARE: SHIRLEY DENISE OXNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse239326NC

General Provider Information

NPI Number : 1427692052
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY DENISE OXNER
Provider Business Mailing Address
First Line : 570 PIEDMONT AVE NE UNIT 54835
Second Line :
City : ATLANTA
State : GA
Zip : 30308-8709
Country : US
Telephone Number : 704-287-2366
Fax Number :
Provider Business Practice Location Address
First Line : 80 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3050
Country : US
Telephone Number : 404-616-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2019
Last Update Date : 11/06/2019

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Directions to “ SHIRLEY DENISE OXNER ” Practice Location

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