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SOUTHLAND NAHUNTA LLC NPI 1265863856


NPI Information

NPI: 1265863856
Provider Name: SOUTHLAND NAHUNTA, LLC

Doing Business As: SATILLA FAMILY CARE CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
13202 CLEVELAND ST W
SUITE 200
NAHUNTA, GA
ZIP 31553
Phone: (229) 300-5896
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SOUTHLAND NAHUNTA, LLC is a clinic center in Nahunta, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHLAND NAHUNTA, LLC NPI is 1265863856. The provider is registered as an organization entity type.
The provider Is Doing Business As Satilla Family Care Clinic.

The provider's business location address is:

13202 CLEVELAND ST W
SUITE 200
NAHUNTA, GA
ZIP 31553-875
Phone: (229) 300-5896
Fax: (229) 269-4874

The provider's authorized official is Jonathan Steven Williams .
The authorized official title is Cmo and has the following contact phone number (229) 300-5869.

The enumeration date for this NPI number is 12/6/2013 and was last updated on 12/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center59237GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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