Organization
EAST GEORGIA DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM CARICO (PRESIDENT)
(912) 489-2400
Entity
Organization
Contact information
Practice address
112 S ZETTEROWER AVE, STATESBORO, GA 30458-4816
(912) 489-2400
Mailing address
PO BOX 2697, STATESBORO, GA 30459-2697
(912) 489-2400
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
11/08/2021
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