| NPI | 1396791976 |
|---|---|
| Doing Business As | STATESBORO ENT & H CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS M CREWS Owner 912-764-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 024663) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-01-05 |