Statesboro Ent & H Clinic

LBN: Statesboro Ent & Fps Clinic, P.C.
Statesboro Ent & H Clinic is an health care organization with primary practice located at 106 Proctor St , Statesboro GA 30458-1351. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Statesboro Ent & Fps Clinic, P.C. can be contacted via phone (912) 764-8200, or through Crews, Thomas M via phone (912) 764-8200.

Contact Information

Primary practice address
106 Proctor St Statesboro GA 30458-1351
Phone: (912) 764-8200
Fax: (912) 489-2954
Website:
Map and Directions
Authorized official contact:
Name: Crews, Thomas M Doctor of Medicine (MD)
Phone: (912) 764-8200

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 024663 Georgia

Profile Details

NPI number 1396791976
LBN Legal business name Statesboro Ent & Fps Clinic, P.C.
DBA Doing business as Statesboro Ent & H Clinic
Authorized official Crews, Thomas M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jan 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396791976 NPPES
Georgia Other REF761734385 MEDICAID REFERENCE #

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