| NPI | 1659327294 |
|---|---|
| Doing Business As | STATESBORO ENT SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS M CREWS Owner 912-764-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 024663) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |