Provider Demographics
NPI:1215149497
Name:A. DEO KLEIN, M.D., P.C.
Entity type:Organization
Organization Name:A. DEO KLEIN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:DEO
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:912-489-3700
Mailing Address - Street 1:POST OFFICE BOX 1928
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30459-1928
Mailing Address - Country:US
Mailing Address - Phone:912-489-3700
Mailing Address - Fax:912-489-2989
Practice Address - Street 1:1161 SARAHLYN LANE, STE. A
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30461
Practice Address - Country:US
Practice Address - Phone:912-489-3700
Practice Address - Fax:912-489-2989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty