Statesboro Medical Group, LLC
NPI #1013535657 in Statesboro, Georgia
Provider Information
- NPI Number
- 1013535657
- Entity Type
- Organization
- Organization Name
- Statesboro Medical Group, LLC
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Jul 9, 2020
- Last Updated
- Sep 11, 2020
Practice Location
- Address
- 1176 BRAMPTON AVE
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-0847
- Phone
- (912) 259-9474
Authorized Official
- Name
- DR. SREEVALLI DEGA, MD
- Title
- OWNER
- Phone
- (912) 259-9474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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