Oh Clinic, P.C.
Organization Active NPI General Practice Physician · Reidsville, GA
NPI 1891046017 · NPPES record last updated Sep 27, 2012
Key facts
- NPI
- 1891046017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 16117 (GA)
- Legal business name
- OH CLINIC, P.C.
- Practice address
- 257 S Main St
Reidsville, GA 30453-4605 - Phone
- (912) 557-4315
- Fax
- (912) 557-3338
- NPI assigned
- Sep 27, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Sang Wan Oh, M.D.
- Title
- Physician
- Phone
- (912) 557-4315
Practitioners 1
-
Sang Wan Oh, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 16117 | GA | Yes |
Addresses
Primary practice location
257 S Main St
Reidsville, GA 30453-4605
Mailing address
PO Box 519
Reidsville, GA 30453-0519
Phone (912) 557-4315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00012317A | Medicaid | GA |
Other providers in Reidsville, GA
- Gabrielle Mumm
- Erica Logan Newberry
- NMC Holdings LLC
- Thomas O'Neill
- Kaleigh Odom
- Sang Wan Oh
- Olive Care Durable Medical & Supplies, LLC.
- Optim Orthopedics, LLC
- Rebekah Hollis Parker
- Aaron Pingel
All providers in Reidsville, GA · General Practice Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.