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Organization

GEORGIA SOUTHERN UNIVERSITY SCHOOL OF NURSING COMMUNITY NURSING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA DAWNE THOMPSON FNP (DIRECTOR OF NURSING CLINIC)
(912) 478-5166
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
04/27/2009
Last updated
04/27/2009
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