East Georgia Orthopedic Center, Pc.

NPI 1073728937 - Specialist - 174400000X

NPI Details
NPI 1073728937
Enumeration Date 05/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANE C DIANE
Position PRACTICE MANAGER
Phone (912) 871-2563
Fax
Practice Location
1601 FAIR RD
SUITE 300
STATESBORO GA, 30458-1698, US
Phone (912) 871-2563
Fax
Business Location
1601 FAIR RD
SUITE 300
STATESBORO GA, 30458-1698, US
Phone (912) 871-2563
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, East Georgia Orthopedic Center, Pc. NPI is 1073728937, taxonomy code is 174400000X East Georgia Orthopedic Center, Pc. physically located at 1601 Fair Rd, Statesboro GA, 30458-1698. NPI Number 1033115704 has the healthcare provider type.

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1073728937 NPI number is provided on an as is basis without warranty of any kind. 1073728937 is maintained by the National Plan & Provider Enumeration System. The contents of East Georgia Orthopedic Center, Pc. are for informational purposes only.