STATHAM MEDICAL CLINIC (NPI# 1447442959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447442959 |
| Entity Type | Organization |
| Organization Name | STATHAM MEDICAL CLINIC |
| Practice Address |
337 Jefferson St. Statham GA 30666 |
| Mailing Address |
337 Jefferson Street Statham GA 30666 |
| Practice Telephone | 7707257994 |
| Practice Fax Number | 7707257994 |
| Mailing Telephone | 7707257994 |
| Mailing Fax Number | 7707257994 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | DR. FELIPE R MUSNGI (PRESIDENT) |
| Authorized Official Telephone | 7707257994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 023195 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
337 JEFFERSON ST. |
| City | STATHAM |
| State | GA |
| Zip Code | 30666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689857195 | Statham Family Practice PC | Family Medicine | 1906 Railroad St, Suite C, Statham, GA 30666 | 2007-12-07 |
| 1487703245 | Felipe Reyes Musngi | Family Medicine | 337 Jefferson Street, Statham, GA 30666 | 2007-01-10 |
| 1962402461 | Steven Alan Durocher | Emergency Medicine | 1906 Railroad Street, Ste C, Statham Family Practice, PC, Statham, GA 30666 | 2005-07-26 |
| 1639530868 | Statham City Pharmacy LLC | Pharmacy | 333 Jefferson St, Statham, GA 30666 | 2016-03-16 |
| 1356792337 | Matthew Fitzpatrick | Pharmacist | 1860 High Green Dr, Statham, GA 30666-1673 | 2016-06-30 |
| 1164844296 | Statham City Pharmacy | Pharmacy | 333 Jefferson St, Statham, GA 30666-1710 | 2014-01-08 |
| 1770522674 | Barrow-statham Pharmacy | Pharmacist | 333 Jefferson St, Statham, GA 30666-1710 | 2006-06-06 |
| 1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
| 1841504511 | Melindas Guardian Angel Personal Care Home | Community Based Residential Treatment Facility, Mental Illness | 593 Eighth St, Statham, GA 30666-1830 | 2010-08-04 |
| 1760511943 | David R. Epps | Pharmacist | 1918 Railroad St, Statham, GA 30666-1875 | 2007-03-05 |
| Find all providers in zip 30666 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.