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1932116027
STAT MED P.A.
GEORGETOWN, TX
NPI
1932116027
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Entity Type
Organization
Authorized Contact
DANA L EVANS
Provider Enrollment Rep
270-744-9600
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2006-08-01
Last Update Date
2008-02-26
Business Address
STAT MED P.A.
902B N AUSTIN AVE
GEORGETOWN, TX 78626-4333
Phone number: 521-930-7828
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Mailing Address
STAT MED P.A.
PO BOX 9150
PADUCAH, KY 42002-9150
Phone number: 270-744-9600
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