Statesboro Ent & Fps Clinic, P.C. in Statesboro - Specialist
Statesboro Ent & Fps Clinic, P.C. - NPI 1396791976
Statesboro Ent & Fps Clinic, P.C. is a Specialist in Statesboro, Georgia. Statesboro Ent & Fps Clinic, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Statesboro Ent & Fps Clinic, P.C. is 1396791976. The last update date is 2011-01-05.
Statesboro Ent & Fps Clinic, P.C.'s current location address is 106 Proctor St, Statesboro, Georgia. You can contact this provider via phone number 9127648200 and fax number 9124892954. The mailing address for Statesboro Ent & Fps Clinic, P.C. is 106 Proctor St, Statesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Statesboro Ent & Fps Clinic, P.C. |
|---|---|
| Address | 106 Proctor St, Statesboro, Georgia |
| Phone Number | 9127648200 |
| Fax Number | 9124892954 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Crews M Thomas |
| Credentials | MD |
| Telephone Number | 9127648200 |
NPI Number Detail
| NPI Number | 1396791976 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2011-01-05 |
Provider Mailing Address Detail
| Address | 106 Proctor St |
|---|---|
| City | Statesboro |
| State | Georgia (GA) |
| Post Code | 304581351 |
| Phone Number | 9127648200 |
| Fax Number | 9124892954 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24663 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| REF761734385 | GA | MEDICAID REFERENCE # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Statesboro Ent & Fps Clinic, P.C.?
The Statesboro Ent & Fps Clinic, P.C. has been issued the NPI (National Provider Identifier) 1396791976 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Statesboro Ent & Fps Clinic, P.C.'s facilities are geographically located?
The facilities of Statesboro Ent & Fps Clinic, P.C. are physically situated at the following location: 106 Proctor St, Statesboro, GA, 304581351.
What is Statesboro Ent & Fps Clinic, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Statesboro Ent & Fps Clinic, P.C. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Statesboro Ent & Fps Clinic, P.C. receive its 1396791976 assignment from the Centers for Medicare & Medicaid Services?
The Statesboro Ent & Fps Clinic, P.C. was assigned its 1396791976 on 2006-05-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Statesboro Ent & Fps Clinic, P.C. most recently updated or revised?
The details related to Statesboro Ent & Fps Clinic, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2011-01-05.