Nathan Charles Southerington is a student in an organized health care education training program in Kentwood, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nathan Charles Southerington NPI is 1528543915. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3560 LONG GROVE DR SE
KENTWOOD, MI
ZIP 49512-365
Phone: (616) 822-4525
The enumeration date for this NPI number is 10/1/2018 and was last updated on 10/1/2018.