NPI 1043384183

Smith & Purvis Family Practice Clinic, PC

Organisation Family Medicine Physician Statesboro, GA

Practice location

Address: 412 Northside Dr E Suite 200, Statesboro, GA 30458-4802
Phone: (912) 764-9684
Fax: (912) 489-8676

Authorised official

Name: Teri S Daigneault
Title: Medical Coder
Phone: (912) 764-1039

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 18745 (GA)

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Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 048703 (GA)

Registry record

NPI: 1043384183
Entity type: Organization
NPI issued: 20 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.