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

Bulloch Family Practice

Organization Family Medicine Physician · NPI 1477239218

Bulloch Family Practice provides Family Medicine Physician services in Statesboro, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

112 Hill Pond Ln
Statesboro, GA 30458-0872
Phone: (912) 259-9633
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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

Record details

NPI number1477239218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loy Cowart — Owner · (912) 259-9633
NPI enumeratedJune 26, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address911 Monarch Cir, Statesboro, GA 30458-9197

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