NPI | 1184737728 |
---|---|
Former Legal Business Name | STATESBORO NEUROLOGICAL CENTER |
Entity Type | Organization |
Authorized Contact | GINA MICHELE TAORMINA Administrator 912-871-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 040258) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2020-08-22 |