| Stephens County Hospital Physician Group, Llc | |
|
189 Bo James St Ste 105 Clayton GA 30525-6199 | |
| (706) 282-4200 | |
| Not Available |
| Full Name | Stephens County Hospital Physician Group, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 189 Bo James St Ste 105, Clayton, Georgia |
| Authorized Official Name and Position | Thomas Loskoski (CEO) |
| Authorized Official Contact | 7062825841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens County Hospital Physician Group, Llc 189 Bo James St Ste 105 Clayton GA 30525-6199 Ph: () - | Stephens County Hospital Physician Group, Llc 189 Bo James St Ste 105 Clayton GA 30525-6199 Ph: (706) 282-4200 |
| NPI Number | 1114643251 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 10/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114643251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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