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1740932227
INNOVATIVE CLINICAL SERVICES LLC
STATESBORO, GA
NPI
1740932227
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Entity Type
Organization
Authorized Contact
BENJAMIN ROSS
Owner/Authorized Official
912-531-0095
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-01-25
Last Update Date
2022-02-18
Business Address
INNOVATIVE CLINICAL SERVICES LLC
4439 COUNTRY CLUB RD
STATESBORO, GA 30458-9188
Phone number: 912-489-7979
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Mailing Address
INNOVATIVE CLINICAL SERVICES LLC
4439 COUNTRY CLUB RD
STATESBORO, GA 30458-9188
Phone number: 912-489-7979
Copy
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