Organization
PHILIP L BERTUCCI,MD,LLC
Active
Other names
Statesboro Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP L BERTUCCI M.D. (OWNER)
(912) 764-7010
Entity
Organization
Contact information
Practice address
21 N ZETTEROWER AVE, STATESBORO, GA 30458-7142
(912) 764-7010
(912) 764-5827
Mailing address
21 N ZETTEROWER AVE, STATESBORO, GA 30458-7142
(912) 764-7010
(912) 764-5827
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
435023614
GA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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