Organization · Type 2 NPI
Statham Medical Clinic
General Practice Physician · Statham, GA
NPI number
1447442959
Active
Practice location
337 Jefferson St.
Statham, GA 30666
Fax (770) 725-7994
Mailing address
337 Jefferson Street
Statham, GA 30666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 023195 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1447442959
Statham Medical Clinic's National Provider Identifier is 1447442959, issued on Aug 17, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Statham, GA. The record was last updated on Aug 17, 2007.