| NPI | 1952599730 |
|---|---|
| Former Legal Business Name | CEPS STATESBORO |
| Entity Type | Organization |
| Authorized Contact | BARBARA KEEL Patient Account Manager 912-920-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 51685) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 48571) |
| 208200000X Plastic Surgery (Licence: GA 45759) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2018-05-31 |