Healthcare Provider Details

I. General information

NPI: 1588307490
Provider Name (Legal Business Name): OXOS HEALTHCARE SERVICES GA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 PEACHTREE ST NE STE 300
ATLANTA GA
30309-3565
US

IV. Provider business mailing address

1230 PEACHTREE ST NE STE 300
ATLANTA GA
30309-3565
US

V. Phone/Fax

Practice location:
  • Phone: 855-733-9729
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DEV MANDAVIA
Title or Position: HEAD OF STRATEGY AND OPERATIONS
Credential:
Phone: 770-490-6549