Statham Medical Clinic Valid NPI
Organization · General Practice Physician · Statham, GA
- NPI
- 1447442959
- Type
- Organization (Type 2)
- Primary specialty
- General Practice Physician (General Practice)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208D00000X
- License number
- 023195 (GA)
- Enumerated
- 2007-08-17
- Last updated
- 2007-08-17
Practice location
337 Jefferson St.
Statham, GA 30666
(770) 725-7994