| Transformations Of Statesboro Llc | |
|
326 Myrtle Crossing Dr Ste 300 Statesboro GA 30458-4429 | |
| (912) 243-9310 | |
| (912) 243-9311 |
| Full Name | Transformations Of Statesboro Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 326 Myrtle Crossing Dr Ste 300, Statesboro, Georgia |
| Authorized Official Name and Position | Raymond Selwyn Scott (CEO/OWNER) |
| Authorized Official Contact | 9122439310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations Of Statesboro Llc 326 Myrtle Crossing Dr Ste 300 Statesboro GA 30458-4429 Ph: (912) 243-9310 | Transformations Of Statesboro Llc 326 Myrtle Crossing Dr Ste 300 Statesboro GA 30458-4429 Ph: (912) 243-9310 |
| NPI Number | 1518436179 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518436179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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