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SMITH & PURVIS FAMILY PRACTICE CLINIC PC NPI 1043384183


NPI Information

NPI: 1043384183
Provider Name: SMITH & PURVIS FAMILY PRACTICE CLINIC, PC

Doing Business As: STATESBORO FAMILY PRACTICE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
412 NORTHSIDE DR E
SUITE 200
STATESBORO, GA
ZIP 30458
Phone: (912) 764-9684
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SMITH & PURVIS FAMILY PRACTICE CLINIC, PC is a family medicine in Statesboro, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SMITH & PURVIS FAMILY PRACTICE CLINIC, PC NPI is 1043384183. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Statesboro Family Practice Clinic.

The provider's business location address is:

412 NORTHSIDE DR E
SUITE 200
STATESBORO, GA
ZIP 30458-802
Phone: (912) 764-9684
Fax: (912) 489-8676

The provider's authorized official is Teri S Daigneault .
The authorized official title is Medical Coder and has the following contact phone number (912) 764-1039.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine029847GEORGIANo
2207Q00000XFamily Medicine048703GEORGIANo
3207Q00000XFamily Medicine18745GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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