Organization
PINELAND CSB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA SCOTT (BILLING)
(912) 764-6906
Entity
Organization
Contact information
Practice address
5 W ALTMAN ST, STATESBORO, GA 30458-5212
(912) 764-9015
Mailing address
5 W ALTMAN ST, STATESBORO, GA 30458-5212
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
LPN031106
GA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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