Individual
MARGARET CATHERINE STATOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3100 VETERANS PKWY S, MOULTRIE, GA 31788-9400
(229) 890-3553
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-3553
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
SLP011713
GA
Other
Enumeration date
09/14/2021
Last updated
07/28/2023
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