Statham Medical Clinic

NPI #1447442959 in Statham, Georgia

Provider Information

NPI Number: 1447442959
Entity Type: Organization
Organization Name: Statham Medical Clinic
Primary Specialty: General Practice
Enumeration Date: Aug 17, 2007
Last Updated: Aug 17, 2007

Practice Location

Address: 337 JEFFERSON ST.
City: Statham
State: Georgia
ZIP Code: 30666
Phone: (770) 725-7994

Authorized Official

Name: DR. FELIPE R MUSNGI
Title: PRESIDENT
Phone: (770) 725-7994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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