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412 Northside Dr E Suite 200 Statesboro GA 30458-4802 | |
(912) 764-9684 | |
(912) 489-8676 |
Full Name | |
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Speciality | Family Medicine |
Location | 412 Northside Dr E, Statesboro, Georgia |
Authorized Official Name and Position | Teri S Daigneault (MEDICAL CODER) |
Authorized Official Contact | 9127641039 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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412 Northside Dr E Suite 200 Statesboro GA 30458-4802 Ph: (912) 764-9684 | 412 Northside Dr E Suite 200 Statesboro GA 30458-4802 Ph: (912) 764-9684 |
NPI Number | 1043384183 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043384183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18745 (Georgia) | Primary |
207Q00000X | Family Medicine | 029847 (Georgia) | Secondary |
207Q00000X | Family Medicine | 048703 (Georgia) | Secondary |
East Georgia Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30459 Phone: 912-764-2273 | |
Gastroenterology Institute, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744 | |
Brian A Moogerfeld Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1088a Bermuda Run, Statesboro, GA 30458 Phone: 912-681-7111 Fax: 912-871-7794 | |