Healthcare Provider Details

I. General information

NPI: 1700749330
Provider Name (Legal Business Name): BRANDI OATES RN, BSN, RNC-OB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 WELCH ST SW
ATLANTA GA
30310-2970
US

IV. Provider business mailing address

967 WELCH ST SW
ATLANTA GA
30310-2970
US

V. Phone/Fax

Practice location:
  • Phone: 404-528-3112
  • Fax:
Mailing address:
  • Phone: 404-528-3112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN224894
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: