| East Georgia Medical Assoc. P C | |
|
23 Lester Rd Statesboro GA 30458-4700 | |
| (912) 764-7900 | |
| (912) 489-3380 |
| Full Name | East Georgia Medical Assoc. P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 Lester Rd, Statesboro, Georgia |
| Authorized Official Name and Position | Emory P Smith (OWNER) |
| Authorized Official Contact | 9127647900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Georgia Medical Assoc. P C Po Box 526 Statesboro GA 30459-0526 Ph: (912) 764-7900 | East Georgia Medical Assoc. P C 23 Lester Rd Statesboro GA 30458-4700 Ph: (912) 764-7900 |
| NPI Number | 1366561862 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366561862 | NPI | - | NPPES |
| 00302794B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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