Georgia Southern University

NPI #1265558118 in Statesboro, Georgia

Provider Information

NPI Number: 1265558118
Entity Type: Organization
Organization Name: Georgia Southern University
Subpart: Yes (part of a larger organization)
Parent Organization: GEORGIA SOUTHERN UNIVERSITY
Primary Specialty: Family Medicine
Enumeration Date: Mar 22, 2007
Last Updated: Feb 5, 2018

Practice Location

Address: 984 PLANT DRIVE
City: Statesboro
State: Georgia
ZIP Code: 30460-0001
Phone: (912) 478-5641

Authorized Official

Name: DIANE NORRIS
Title: DIRECTOR OF HEALTH SERVICES
Phone: (912) 478-5641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Nurse Practitioner - Women's Health — Women's Health	363LW0102X
Family Medicine	207Q00000X	Primary

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