Provider Demographics
NPI:1538468624
Name:STATMEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:STATMEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SHAUL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:706-322-7776
Mailing Address - Street 1:2 BRADLEY PARK CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-9238
Mailing Address - Country:US
Mailing Address - Phone:706-322-7776
Mailing Address - Fax:706-322-7485
Practice Address - Street 1:2 BRADLEY PARK CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-9238
Practice Address - Country:US
Practice Address - Phone:706-322-7776
Practice Address - Fax:706-322-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN144883251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care