SOUTHERN HEALTH CARE OF GEORGIA NPI 1225462864

NPI Information

SOUTHERN HEALTH CARE OF GEORGIA is a specialist in Marietta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN HEALTH CARE OF GEORGIA NPI is 1225462864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2790 SANDY PLAINS RD
SUITE 202
MARIETTA, GA
ZIP 30066-373
Phone: (770) 509-5920
Fax: (770) 509-5922

The provider's authorized official is Jerry D Blackmon .
The authorized official title is Owner and has the following contact phone number (770) 509-5920.

The enumeration date for this NPI number is 8/31/2013 and was last updated on 8/31/2013.

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:

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