NPI 1477239218

Bulloch Family Practice

Organisation Family Medicine Physician Statesboro, GA

Practice location

Address: 112 Hill Pond Ln, Statesboro, GA 30458-0872
Phone: (912) 259-9633
Mailing address: 911 Monarch Cir, Statesboro, GA 30458-9197

Authorised official

Name: Loy D Cowart
Title: Owner
Phone: (912) 259-9633

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Georgia →

Registry record

NPI: 1477239218
Entity type: Organization
NPI issued: 26 Jun 2023
Record last updated: 20 Nov 2023

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.