Statesboro Imaging Center, P.C.
Physiological Laboratory in Statesboro, GA. Organization (NPI-2).
NPI number1750413613
StatusActive
Last updated in NPPESMar 3, 2010
Details
- NPI
- 1750413613
- Entity type
- Organization (NPI-2)
- Legal business name
- Statesboro Imaging Center, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 9, 2007
- Last updated
- Mar 3, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Practice location
8 Lester RdStatesboro, GA 30458-4786
Phone 912-764-5656 · Fax 912-764-7522
Mailing address
8 Lester RdStatesboro, GA 30458-4786
Phone 912-764-5656 · Fax 912-764-7522
Authorized official
Connie B. Connell
Coo
9127645656
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