Organization
STATESBORO AMBULATORY SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W. CUSHNER DPM (PRESIDENT/OWNER)
(912) 489-6519
Entity
Organization
Contact information
Practice address
95 BEL AIR DR, STATESBORO, GA 30461-6879
(912) 489-6519
(912) 764-7882
Mailing address
95 BEL AIR DR, STATESBORO, GA 30461-6879
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
04/03/2012
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