Innovative Clinical Services LLC
NPI #1740932227 in Statesboro, Georgia
Provider Information
- NPI Number
- 1740932227
- Entity Type
- Organization
- Organization Name
- Innovative Clinical Services LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 25, 2022
- Last Updated
- Feb 18, 2022
Practice Location
- Address
- 4439 COUNTRY CLUB RD
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-9188
- Phone
- (912) 489-7979
Authorized Official
- Name
- BENJAMIN ROSS, PHARMD
- Title
- OWNER/AUTHORIZED OFFICIAL
- Phone
- (912) 531-0095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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