Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Victoria Family Practice Clinic, LLC

Organization Family Medicine Physician · NPI 1700119997

Victoria Family Practice Clinic, LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 14 years — call before visiting
Phone: (912) 225-1836
Fax: (912) 225-0645
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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 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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