Doctor Name: | DR. JOHN HENRY OLIVER |
NPI Number: | 1003802117 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 024851 |
Business Practice Address: | 2300 Wrightsboro Rd Augusta, GA - 309046220 |
Business Phone Number: | 7067373948 |
Business Fax Number: | 7067374035 |
Mailing Address: | 2300 Wrightsboro Rd, AUGUSTA |
State: | GA |
Postal Code: | 309046220 |
Phone Number: | 7067373948 |
Fax Number: | 7067374035 |
NPI Enumeration Date: | 09/23/2005 |
NPI Last Update Date: | 12/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 024851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |