Cesar Clinic, Llc

NPI 1043352958 - Specialist - 174400000X

NPI Details
NPI 1043352958
Enumeration Date 02/14/2007
Last Updated 05/29/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROSE L ROSE
Position OWNER
Phone (912) 871-8500
Fax (912) 871-8508
Practice Location
1497 FAIR RD
SUITE 201
STATESBORO GA, 30458-0822, US
Phone (912) 871-8500
Fax (912) 871-8508
Business Location
1497 FAIR RD
SUITE 201
STATESBORO GA, 30458-0822, US
Phone (912) 871-8500
Fax (912) 871-8508
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number F63922
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According to our database, Cesar Clinic, Llc NPI is 1043352958, taxonomy code is 174400000X and license number is F63922, license state is located at Georgia. Cesar Clinic, Llc physically located at 1497 Fair Rd, Statesboro GA, 30458-0822. NPI Number 1033115704 has the healthcare provider type.

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1043352958 NPI number is provided on an as is basis without warranty of any kind. 1043352958 is maintained by the National Plan & Provider Enumeration System. The contents of Cesar Clinic, Llc are for informational purposes only.