Individual
PATRICK JUSTIN LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16915 HIGHWAY 67, STATESBORO, GA 30458-5819
(912) 681-2500
(912) 681-2025
Mailing address
PO BOX 15359, SAVANNAH, GA 31416-2059
(912) 644-5300
(912) 644-5282
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
075301
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD.35898
AL
208D00000X
General Practice Physician
75301
GA
Other
Enumeration date
11/30/2009
Last updated
01/14/2021
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