Statham Medical Clinic | |
337 Jefferson St. Statham GA 30666 | |
(770) 725-7994 | |
(770) 725-7994 |
Full Name | Statham Medical Clinic |
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Speciality | General Practice |
Location | 337 Jefferson St., Statham, Georgia |
Authorized Official Name and Position | Felipe R Musngi (PRESIDENT) |
Authorized Official Contact | 7707257994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Statham Medical Clinic 337 Jefferson Street Statham GA 30666 Ph: (770) 725-7994 | Statham Medical Clinic 337 Jefferson St. Statham GA 30666 Ph: (770) 725-7994 |
NPI Number | 1447442959 |
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Provider Enumeration Date | 08/17/2007 |
Last Update Date | 08/17/2007 |
Identifier | Type | State | Issuer |
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1447442959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 023195 (Georgia) | Primary |
Statham Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1906 Railroad St, Suite C, Statham, GA 30666 Phone: 678-753-1122 |