| Hydrate Oasis & Wellness | |
|
4228 1st Ave Ste 1 Tucker GA 30084-4426 | |
| (888) 794-1441 | |
| (678) 731-1615 |
| Full Name | Hydrate Oasis & Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 4228 1st Ave Ste 1, Tucker, Georgia |
| Authorized Official Name and Position | Yvanne Jean-obei (OWNER) |
| Authorized Official Contact | 7707809053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hydrate Oasis & Wellness 4228 1st Ave Ste 1 Tucker GA 30084-4426 Ph: (888) 794-1441 | Hydrate Oasis & Wellness 4228 1st Ave Ste 1 Tucker GA 30084-4426 Ph: (888) 794-1441 |
| NPI Number | 1265289953 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 08/07/2026 |
| Certification Date | 08/07/2026 |
| Medicare PECOS PAC ID | 0143718809 |
|---|---|
| Medicare Enrollment ID | O20251023003445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265289953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Harlan South |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750438099 PECOS PAC ID: 9537116926 Enrollment ID: I20050407000611 |
| Provider Name | Yvanne Jean-obei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417503889 PECOS PAC ID: 0547693541 Enrollment ID: I20191205000985 |
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