Statham Family Practice PC

NPI #1689857195 in Statham, Georgia

Provider Information

NPI Number: 1689857195
Entity Type: Organization
Organization Name: Statham Family Practice PC
Primary Specialty: Family Medicine
Enumeration Date: Dec 7, 2007
Last Updated: Feb 26, 2009

Practice Location

Address: 1906 RAILROAD ST
Address 2: SUITE C
City: Statham
State: Georgia
ZIP Code: 30666
Phone: (678) 753-1122

Authorized Official

Name: DR. STEVEN A DUROCHER, M.D.
Title: PRESIDENT
Phone: (678) 753-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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