Organization
SMITH & PURVIS FAMILY PRACTICE CLINIC, PC
Active
Other names
Statesboro Family Practice Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI S DAIGNEAULT CPC (MEDICAL CODER)
(912) 764-1039
Entity
Organization
Contact information
Practice address
412 NORTHSIDE DR E, SUITE 200, STATESBORO, GA 30458-4802
(912) 764-9684
(912) 489-8676
Mailing address
412 NORTHSIDE DR E, SUITE 200, STATESBORO, GA 30458-4802
(912) 764-9684
(912) 489-8676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
029847
GA
207Q00000X
Family Medicine Physician
048703
GA
207Q00000X
Family Medicine Physician
Primary
18745
GA
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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