Bulloch Family Practice

NPI #1477239218 in Statesboro, Georgia

Provider Information

NPI Number: 1477239218
Entity Type: Organization
Organization Name: Bulloch Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Jun 26, 2023
Last Updated: Nov 20, 2023

Practice Location

Address: 112 HILL POND LN
City: Statesboro
State: Georgia
ZIP Code: 30458-0872
Phone: (912) 259-9633

Authorized Official

Name: DR. LOY D COWART III, MD
Title: OWNER
Phone: (912) 259-9633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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