Organization
STATHAM MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIPE R MUSNGI (PRESIDENT)
(770) 725-7994
Entity
Organization
Contact information
Practice address
337 JEFFERSON ST., STATHAM, GA 30666
(770) 725-7994
(770) 725-7994
Mailing address
337 JEFFERSON STREET, STATHAM, GA 30666
(770) 725-7994
(770) 725-7994
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
023195
GA
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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