SHILOH WOUND CARE PC
Radiology at Fair Rd, Statesboro, GA

License number
Georgia 025229
Category
Radiology
Type
Surgery
Owner
Name: DR. JOHN E MARTIN MD
Title: PRES
Phone: (912) 486-1163
Address
Address 2
1497 Fair Rd STE 103, Statesboro, GA 30458
3525 Bldg. 7 STE 601, Atlanta, GA 30305
National Provider ID: 1073707436
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHILOH WOUND CARE, PC

Statesboro, GA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Oct 27, 2006
Addresses:
202 Pinewood Dr, Statesboro, GA 30458 (Physical)
1497 Fair Rd, Statesboro, GA 30458
PO Box 585, Statesboro, GA 30459
State ID:
0694149
Business type:
Domestic Professional Corporation
Surgeons:
Williams Deborah Martin (Secretary), 202 Pinewood Dr, Statesboro, GA 30458 (Physical),Edward John Martin (CEO), 202 Pinewood Dr, Statesboro, GA 30458 (Physical),John E. Martin Medical Doctor, President, Principal, inactive,...

Radiology licenses in Georgia