STATHAM MEDICAL CLINIC – NPI #1447442959
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

STATHAM MEDICAL CLINIC is a provider located in STATHAM, GA. NPPES has assigned the NPI number 1447442959 to STATHAM MEDICAL CLINIC on August 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STATHAM MEDICAL CLINIC below.

NPI Profile for
STATHAM MEDICAL CLINIC

NPI Number
1447442959
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATHAM MEDICAL CLINIC
Primary location
337 JEFFERSON ST.
STATHAM, GA 30666
Phone: (770) 725-7994 Fax: (770) 725-7994
Mailing address
337 JEFFERSON STREET
STATHAM, GA 30666
Phone: (770) 725-7994 Fax: (770) 725-7994
Organization Subpart
No
Authorized Official
FELIPE MUSNGI
PRESIDENT
Phone: (770) 725-7994
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
GA 023195

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.