NPI 1194028977
Statesboro Hma Medical Group, LLC
Practice location
- Address
- 16741 Highway 67 Suite a, Statesboro, GA 30458-2528
- Phone
- (912) 871-7890
- Fax
- (912) 871-7898
- Mailing address
- 5811 Pelican Bay Blvd Suite 500, Naples, FL 34108-2733
Authorised official
- Name
- Michael L Gingras
- Title
- Vice President
- Phone
- (239) 598-3131
Registered specialties (2)
Family Medicine Physician
Primary
Nurse Practitioner
Registry record
- NPI
- 1194028977
- Entity type
- Organization
- NPI issued
- 16 Dec 2010
- Record last updated
- 26 Nov 2012
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.