SOUTHERN HEALTH MANAGEMENT INC NPI 1386949394

NPI Information

NPI: 1386949394
Provider Name: SOUTHERN HEALTH MANAGEMENT INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2060 NORTHLAKE PKWY
TUCKER, GA
ZIP 30084
Phone: (404) 981-6337
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SOUTHERN HEALTH MANAGEMENT INC is a multi-specialty clinic center in Tucker, GA. SOUTHERN HEALTH MANAGEMENT INC NPI is 1386949394. The provider is registered as an organization entity type.

The provider's business location address is:

2060 NORTHLAKE PKWY
TUCKER, GA
ZIP 30084-012
Phone: (404) 981-6337
Fax: (888) 336-7611

The provider's authorized official is Jeffrey John Gonzalez .
The authorized official title is President and has the following contact phone number (404) 981-6337.

The enumeration date for this NPI number is 1/22/2011 and was last updated on 1/22/2011.

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
1	261QM1300X	Clinic/Center	Multi-Specialty	00224953	GEORGIA	Yes

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

NPI Synchronization or Removal

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