Organization
STATESBORO ENT SURGICAL CENTER
Active
Other names
Statesboro ENT Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M CREWS MD (OWNER)
(912) 764-8200
Entity
Organization
Contact information
Practice address
106 PROCTOR ST, STATESBORO, GA 30458-1351
(912) 764-8200
(912) 489-2954
Mailing address
106 PROCTOR ST, STATESBORO, GA 30458-1351
(912) 764-8200
(912) 489-2954
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
024663
GA
Other
Enumeration date
05/25/2006
Last updated
08/22/2020
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