Organization
GEORGIA SOUTHERN UNIVERSITY
Active
Parent organization
GEORGIA SOUTHERN UNIVERSITY
Other names
Georgia Southern University Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA SOUTHERN UNIVERSITY
Authorized official
DIANE NORRIS (DIRECTOR OF HEALTH SERVICES)
(912) 478-5641
Entity
Organization
Contact information
Practice address
984 PLANT DRIVE, STATESBORO, GA 30460-0001
(912) 478-5641
(912) 478-1893
Mailing address
PO BOX 5199, ABILENE, TX 79608-5199
(866) 890-6390
(325) 437-8390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
03/22/2007
Last updated
02/05/2018
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