EAST GEORGIA NEPHROLOGY, PC
Osteopathic Medicine at Georgia Ave, Statesboro, GA

License number
Georgia 034372
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: JAMES WILLIAM JACKSON JR. MD
Title: OWNER
Phone: (912) 871-2200
Address
Address
450 Georgia Ave SUITE B, Statesboro, GA 30458
National Provider ID: 1215128186
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAST GEORGIA NEPHROLOGY, PC

450 Georgia Ave STE B, Statesboro, GA 30458

Industry:
Medical Doctor's Office
Registration:
Jul 23, 1999
Phone:
(912) 871-2200 (Phone)
State ID:
K930188
Business type:
Domestic Professional Corporation
Medical Assistants:
Jackson W (Secretary), 450 Georgia Ave SUITE B, Statesboro, GA 30458 (Physical),W. Jr., Jackson (CEO), 450 Georgia Ave SUITE B, Statesboro, GA 30458 (Physical),Jamie Newman (Receptionist Secretary),...
Agent:
James W. Jackson, Jr.,M.d,450 Georgia Ave SUITE B, Statesboro, GA 30458 (Physical)
Categories:
Internal Medicine Physicians & Surgeons, Nephrology Physicians & Surgeons, Physicians & Surgeons

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