Organization · Type 2 NPI
Pineland Mh/mr/sa CSB
Clinic/Center · Vidalia, GA
NPI number
1760658587
Active
Practice location
901 North St W
Vidalia, GA 30474-3503
Fax (912) 537-9915
Mailing address
5 W Altman St
Statesboro, GA 30458-5212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | LPN068072 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Vidalia
About NPI 1760658587
Pineland Mh/mr/sa CSB's National Provider Identifier is 1760658587, issued on May 1, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Vidalia, GA. The record was last updated on May 1, 2008.