Provider Demographics
NPI:1427208271
Name:OATES, CHRISTINE ELIZABETH (CFNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ELIZABETH
Last Name:OATES
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 LAUREL ST STE 203
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2024
Mailing Address - Country:US
Mailing Address - Phone:803-256-7076
Mailing Address - Fax:803-256-0961
Practice Address - Street 1:2750 LAUREL ST STE 203
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2024
Practice Address - Country:US
Practice Address - Phone:803-256-7076
Practice Address - Fax:803-256-0961
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3610363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily