Statham Family Practice Pc in Statham - Family Medicine
Statham Family Practice Pc - NPI 1689857195
Statham Family Practice Pc is a Family Medicine in Statham, Georgia. Statham Family Practice Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Statham Family Practice Pc is 1689857195. The last update date is 2009-02-26.
Statham Family Practice Pc's current location address is 1906 Railroad St, Statham, Georgia. You can contact this provider via phone number 6787531122. The mailing address for Statham Family Practice Pc is 1906 Railroad St, Statham, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Statham Family Practice Pc |
|---|---|
| Address | 1906 Railroad St, Statham, Georgia |
| Phone Number | 6787531122 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Durocher A Steven |
| Credentials | M.D. |
| Telephone Number | 6787531122 |
NPI Number Detail
| NPI Number | 1689857195 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2009-02-26 |
Provider Mailing Address Detail
| Address | 1906 Railroad St |
|---|---|
| City | Statham |
| State | Georgia (GA) |
| Post Code | 30666 |
| Phone Number | 6787531122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 56051 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique provider identifier assigned to Statham Family Practice Pc?
The Statham Family Practice Pc has been issued the NPI (National Provider Identifier) 1689857195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Statham Family Practice Pc located?
The Statham Family Practice Pc is located at 1906 Railroad St, Statham, GA 30666.
What is the Statham Family Practice Pc's specialty and taxonomy code?
The Statham Family Practice Pc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When was the Statham Family Practice Pc's 1689857195 issued?
The Statham Family Practice Pc's 1689857195 was issued on 2007-12-07.
When was the Statham Family Practice Pc's information last updated?
The Statham Family Practice Pc's information was last updated on 2009-02-26.