# GEORGIA SOUTHERN UNIVERSITY SCHOOL OF NURSING COMMUNITY NURSING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255575890
- **Authorized official:** MS. ANGELA DAWNE THOMPSON FNP (DIRECTOR OF NURSING CLINIC)
- **Authorized official phone:** (912) 478-5166

## Contact information

- **Practice address:** 250 FORREST DR, RM\# 1004, STATESBORO, GA 30460-0001
- **Practice address phone:** (912) 478-5166
- **Practice address fax:** (912) 478-5400
- **Mailing address:** 250 FORREST DR, RM\# 1004, STATESBORO, GA 30460-0001
- **Mailing address phone:** (912) 478-5166
- **Mailing address fax:** (912) 478-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | RN117953 NP | GA | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 04/27/2009