Whalio Doctors

NPI 1053570762

Pineland Csb

Organisation Substance Abuse Rehabilitation Facility Statesboro, GA

Practice location

Address
5 W Altman St, Statesboro, GA 30458-5212
Phone
(912) 764-9015

Authorised official

Name
Debra Scott
Title
Billing
Phone
(912) 764-6906

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence LPN031106 (GA)

Registry record

NPI
1053570762
Entity type
Organization
NPI issued
6 Jun 2008
Record last updated
6 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.