Organization
RENEWALMD STATESBORO
Active
Other names
CEPS Statesboro
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KEEL CPC, CPB, CPRC (PATIENT ACCOUNT MANAGER)
(912) 920-5624
Entity
Organization
Contact information
Practice address
1209 MERCHANT WAY, SUITE 301, STATESBORO, GA 30458
(912) 920-2090
(912) 920-7921
Mailing address
900 MOHAWK STREET, SUITE A, SAVANNAH, GA 31419-1780
(912) 920-5624
(912) 920-7921
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
45759
GA
208200000X
Plastic Surgery Physician
48571
GA
208200000X
Plastic Surgery Physician
Primary
51685
GA
Other
Enumeration date
10/05/2007
Last updated
05/31/2018
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