NPI 1265558118

Georgia Southern University

Organisation Family Medicine Physician Statesboro, GA

Practice location

Address: 984 Plant Drive, Statesboro, GA 30460-0001
Phone: (912) 478-5641
Fax: (912) 478-1893
Mailing address: PO Box 5199, Abilene, TX 79608-5199

Authorised official

Name: Diane Norris
Title: Director of Health Services
Phone: (912) 478-5641

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Georgia →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Georgia →

Women's Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X

Registry record

NPI: 1265558118
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 5 Feb 2018

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.