| NPI | 1225364524 |
|---|---|
| Doing Business As | STATESBORO PEDIATRICS & FAMILY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | JILL R SORRELLS CFO 478-237-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2014-11-21 |