| NPI | 1821126400 |
|---|---|
| Doing Business As | STATESBORO PEDIATRICS AND FAMILY HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA BRASWELL Operations Manger 478-237-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-02-16 |