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.
GA license #024663taxonomy 174400000X
Identifiers
Type
Value
Notes
01 (GA)
REF761734385
MEDICAID REFERENCE #
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Statesboro ENT & H Clinic
Type code 3recorded 2006-05-26
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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