Organization
STATESBORO AMBUL SURG CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM CUSHNER DPM (OWNER CEO)
(912) 489-6519
Entity
Organization
Contact information
Practice address
95 BEL AIR DRIVE, STATESBORO, GA 30461
(912) 489-6519
(912) 764-7882
Mailing address
PO BOX 1106, STATESBORO, GA 30459-1106
(912) 489-6519
(912) 764-7882
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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