Provider Demographics
NPI:1811318512
Name:OAKTREE MEDICAL CENTRE
Entity type:Organization
Organization Name:OAKTREE MEDICAL CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR/ COLLECTIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:STILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-343-2683
Mailing Address - Street 1:PO BOX 484
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29641-0484
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 BRUSHY CREEK RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-1120
Practice Address - Country:US
Practice Address - Phone:864-855-1633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1891792859OtherNPI
SC1083693212OtherNPI
SC1568476190OtherNPI
SC1255510509OtherNPI
SC1477823904OtherNPI
SC1689654089OtherNPI
SC1871551804OtherNPI
SC1245217322OtherNPI
SC1407887201OtherNPI
SC1528045978OtherNPI
SC1588653273OtherNPI
SC1497796916OtherNPI