NPI

Statham Medical Clinic

NPI 1447442959

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-08-17
Last updated
2007-08-17

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Specialties

Licenses

License GA
023195

Location

Practice location
337 Jefferson St.
City
Statham GA
Postal code
30666
Phone
(770) 725-7994

Organization contact

Name
Felipe Musngi
Title
president
Phone
(770) 725-7994

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Statham, GA. 38 records in the public file.

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