Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Statham Family Practice PC

Organization Family Medicine Physician · NPI 1689857195

Statham Family Practice PC is a Family Medicine Physician in Statham, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1906 Railroad St Ste C
Statham, GA 30666
Phone: (678) 753-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 056051 (GA)

Record details

NPI number1689857195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Durocher — President · (678) 753-1122
NPI enumeratedDecember 7, 2007
Last updated in NPPESFebruary 26, 2009
Mailing address1906 Railroad St, Suite C, Statham, GA 30666

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