Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Clinical Services LLC

Organization Family Medicine Physician · NPI 1740932227

Innovative Clinical Services LLC is a Family Medicine Physician in Statesboro, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4439 Country Club Rd
Statesboro, GA 30458-9188
Phone: (912) 489-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1740932227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Ross — Owner/Authorized Official · (912) 531-0095
NPI enumeratedJanuary 25, 2022
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022
Mailing address4439 Country Club Rd, Statesboro, GA 30458-9188

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