11D2024994 CLIA NUMBER - STATESBORO PSYCHIATRIC ASSOCIATES

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Laboratory Demographics

CLIA Number: 11D2024994

Facility Name: STATESBORO PSYCHIATRIC ASSOCIATES

Facility Address:
116 HILL POND LANE
STATESBORO, GA
ZIP 30458
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Facility Phone Number: 912 489-1629

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083830400

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	11D2024994
LAB Type	Physician Office
Facility Name	STATESBORO PSYCHIATRIC ASSOCIATES
Street	116 HILL POND LANE
City	STATESBORO
State	GA
ZIP	30458
Phone	912 489-1629
CertificateType	4
CertificateEffectiveDate	5/31/2023
CertificateExpirationDate	5/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024