Statham Medical Clinic in Statham - General Practice
Statham Medical Clinic - NPI 1447442959
Statham Medical Clinic is a General Practice in Statham, Georgia. Statham Medical Clinic practices all healthcare services and medical treatments related to General Practice. The NPI Number for Statham Medical Clinic is 1447442959. The last update date is 2007-08-17.
Statham Medical Clinic's current location address is 337 Jefferson Street, Statham, Georgia. You can contact this provider via phone number 7707257994 and fax number 7707257994. The mailing address for Statham Medical Clinic is 337 Jefferson Street, Statham, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Statham Medical Clinic |
|---|---|
| Address | 337 Jefferson Street, Statham, Georgia |
| Phone Number | 7707257994 |
| Fax Number | 7707257994 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Musngi R Felipe |
| Telephone Number | 7707257994 |
NPI Number Detail
| NPI Number | 1447442959 |
|---|---|
| Provider Enumeration Date | 2007-08-17 |
| Last Updated Date | 2007-08-17 |
Provider Mailing Address Detail
| Address | 337 Jefferson Street |
|---|---|
| City | Statham |
| State | Georgia (GA) |
| Post Code | 30666 |
| Phone Number | 7707257994 |
| Fax Number | 7707257994 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 23195 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique identifier code issued to Statham Medical Clinic by the Centers for Medicare & Medicaid Services?
The Statham Medical Clinic has been assigned the NPI (National Provider Identifier) 1447442959. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Statham Medical Clinic is physically located?
The Statham Medical Clinic is physically situated at the following address: 337 Jefferson Street, Statham, GA, 30666.
What is Statham Medical Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Statham Medical Clinic is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
On what date was the 1447442959 assigned to Statham Medical Clinic?
The Statham Medical Clinic was issued its 1447442959 on 2007-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Statham Medical Clinic most recently updated or revised?
The details related to Statham Medical Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-17.
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