| Bulloch Family Practice | |
|
112 Hill Pond Ln Statesboro GA 30458-0872 | |
| (912) 259-9633 | |
| Not Available |
| Full Name | Bulloch Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Hill Pond Ln, Statesboro, Georgia |
| Authorized Official Name and Position | Loy D Cowart (OWNER) |
| Authorized Official Contact | 9122599633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bulloch Family Practice 911 Monarch Cir Statesboro GA 30458-9197 Ph: () - | Bulloch Family Practice 112 Hill Pond Ln Statesboro GA 30458-0872 Ph: (912) 259-9633 |
| NPI Number | 1477239218 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477239218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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