| Statham Family Practice Pc | |
|
1906 Railroad St Suite C Statham GA 30666 | |
| (678) 753-1122 | |
| Not Available |
| Full Name | Statham Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1906 Railroad St, Statham, Georgia |
| Authorized Official Name and Position | Steven A Durocher (PRESIDENT) |
| Authorized Official Contact | 6787531122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Statham Family Practice Pc 1906 Railroad St Suite C Statham GA 30666 Ph: (678) 753-1122 | Statham Family Practice Pc 1906 Railroad St Suite C Statham GA 30666 Ph: (678) 753-1122 |
| NPI Number | 1689857195 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689857195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056051 (Georgia) | Primary |
Statham Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 337 Jefferson St., Statham, GA 30666 Phone: 770-725-7994 Fax: 770-725-7994 |