Demediuk, Oksana Maria
Demediuk, Oksana Maria is an individual health care provider with primary practice located at 3520 Walton Way Ext , Augusta GA 30909-6605. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Demediuk, Oksana Maria can be contacted via phone (706) 481-9191.Contact Information
Primary practice address
3520 Walton Way Ext
Augusta GA 30909-6605
Phone: (706) 481-9191
Fax: (706) 481-9197
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 039322 | Georgia |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 039322 | Georgia |
Profile Details
NPI number | 1972599496 |
---|---|
LBN Legal business name | Demediuk, Oksana Maria |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Feb 9th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972599496 | NPPES |
South Carolina | MEDICAID | G39322 | |
South Carolina | MEDICAID | 00652286D |
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