STATESBORO ENT SURGICAL CENTER

STATESBORO, GA
NPI1316346471
Entity TypeOrganization
Authorized ContactTHOMAS M CREWS
Owner
912-764-8200
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN123377)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN139429)
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN179667)
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN177700)
Enumeration Date2014-08-14
Last Update Date2014-08-14
Business Address
STATESBORO ENT SURGICAL CENTER
106 PROCTOR ST
STATESBORO, GA 30458-1351
Phone number: 912-764-8200
Mailing Address
STATESBORO ENT SURGICAL CENTER
106 PROCTOR ST
STATESBORO, GA 30458-1351
Phone number: 912-764-8200