SOUTH GEORGIA PEDIATRICS, P.C. is a specialist in Statesboro, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTH GEORGIA PEDIATRICS, P.C. NPI is 1578797627. The provider is registered as an organization entity type.
The provider's business location address is:
1230 BRAMPTON AVE
STATESBORO, GA
ZIP 30458-849
Phone: (912) 489-5437
Fax: (912) 489-5550
The provider's authorized official is Rao Tulasi Immaneni .
The authorized official title is Ceo and has the following contact phone number (912) 247-0409.
The CLIA number assigned to this NPI record is 11D1099601 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/5/2009 and was last updated on 5/7/2009.