| Dr Steven Alan Durocher, MD | |
|
1906 Railroad Street, Ste C, Statham Family Practice, Pc, Statham, GA 30666 | |
| (678) 753-1122 | |
| (678) 753-0909 |
| Full Name | Dr Steven Alan Durocher |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1906 Railroad Street, Ste C, Statham, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962402461 | NPI | - | NPPES |
| 810703163I | Medicaid | GA | |
| 810703163A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056051 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 056051 (Georgia) | Primary |
| Entity Name | Inphynet Primary Care Physicians Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770521460 PECOS PAC ID: 3779497045 Enrollment ID: O20031119000600 |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Gordon Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205290467 PECOS PAC ID: 6406149400 Enrollment ID: O20160728001627 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven Alan Durocher, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Steven Alan Durocher, MD 1906 Railroad Street, Ste C, Statham Family Practice, Pc, Statham, GA 30666 Ph: (678) 753-1122 |