Healthcare Provider Details

I. General information

NPI: 1578632477
Provider Name (Legal Business Name): SARAH E OXFORD A.M.H.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 STAMP ACT DR BUILDING M
BOLIVIA NC
28422
US

IV. Provider business mailing address

437 HARRIS SWAMP RD SE
BOLIVIA NC
28422-8603
US

V. Phone/Fax

Practice location:
  • Phone: 910-253-4485
  • Fax: 910-253-7871
Mailing address:
  • Phone: 910-253-4485
  • Fax: 910-253-7871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: