Organization
STATHAM FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A DUROCHER M.D. (PRESIDENT)
(678) 753-1122
Entity
Organization
Contact information
Practice address
1906 RAILROAD ST, SUITE C, STATHAM, GA 30666
(678) 753-1122
Mailing address
1906 RAILROAD ST, SUITE C, STATHAM, GA 30666
(678) 753-1122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056051
GA
Other
Enumeration date
12/07/2007
Last updated
02/26/2009
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