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

Victoria Family Practice Clinic, LLC

Organization Family Medicine Physician · NPI 1700119997

Victoria Family Practice Clinic, LLC is a Family Medicine Physician in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23 Lester Rd
Statesboro, GA 30458-4700
Phone: (912) 225-1836
Fax: (912) 225-0645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 062926 (GA)

Record details

NPI number1700119997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osaretin Okungbowa — Owner · (912) 225-1836
NPI enumeratedSeptember 7, 2009
Last updated in NPPESJanuary 20, 2012
Mailing address23 Lester Rd, Statesboro, GA 30458-4700

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