MEDICARE: OASIS HYPERBARICS, LLC

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
1	261QM2500X	Medical Specialty Clinic/Center		SC

General Provider Information

NPI Number	:	1598902124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS HYPERBARICS, LLC

Provider Business Mailing Address
First Line	:	1156 BOWMAN RD
Second Line	:	SUITE 103
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3803
Country	:	US
Telephone Number	:	843-654-7337
Fax Number	:	843-654-7336

Provider Business Practice Location Address
First Line	:	1156 BOWMAN RD
Second Line	:	SUITE 103
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3803
Country	:	US
Telephone Number	:	843-654-7337
Fax Number	:	843-654-7336

Authorized Official
Title or Position	:	CEO
Name	:	DR. ERIC STEWART BRITTAIN
Credential	:	M.D.
Telephone Number	:	843-654-7337

Provider Enumeration Date	:	01/20/2009
Last Update Date	:	03/23/2009

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