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OAKWOOD HEALHCARE GROUP 1 LLC NPI 1457503781


NPI Information

NPI: 1457503781
Provider Name: OAKWOOD HEALHCARE GROUP 1, LLC

Doing Business As: SOUTHSHORE MOB

Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
5400 FORT ST
SUITE 100
TRENTON, MI
ZIP 48183
Phone: (734) 362-1200
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OAKWOOD HEALHCARE GROUP 1, LLC is an obstetrics obstetrics gynecology in Trenton, MI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee OAKWOOD HEALHCARE GROUP 1, LLC NPI is 1457503781. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southshore Mob.

The provider's business location address is:

5400 FORT ST
SUITE 100
TRENTON, MI
ZIP 48183-632
Phone: (734) 362-1200

The provider's authorized official is Lee Ann Odom .
The authorized official title is President Shared Services and has the following contact phone number (947) 522-3326.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 10/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0000XObstetrics & GynecologyObstetricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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