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NPI Code Detail

MEDICARE: VASHAWN M OATS

MEDICARE: VASHAWN M OATS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101Y00000XCounselor

General Provider Information

NPI Number : 1437687183
Entity Type Code : Individual
Provider Name (Legal Business Name) : VASHAWN M OATS
Provider Business Mailing Address
First Line : 940 GA HIGHWAY 96 STE C
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2585
Country : US
Telephone Number : 478-988-1222
Fax Number : 478-988-7115
Provider Business Practice Location Address
First Line : 940 GA HIGHWAY 96 STE C
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2585
Country : US
Telephone Number : 478-988-1222
Fax Number : 478-988-7115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2017
Last Update Date : 07/21/2022

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Directions to “ VASHAWN M OATS ” Practice Location

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