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SOUTHERN FAMILY MEDICINE LLC NPI 1952870487


NPI Information

NPI: 1952870487
Provider Name: SOUTHERN FAMILY MEDICINE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2165818

Address:
999 S MACON ST
JESUP, GA
ZIP 31545
Phone: (912) 385-2732
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SOUTHERN FAMILY MEDICINE, LLC is a family medicine in Jesup, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHERN FAMILY MEDICINE, LLC NPI is 1952870487. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

999 S MACON ST
JESUP, GA
ZIP 31545-240
Phone: (912) 385-2732

The provider's authorized official is Adrien Kiff .
The authorized official title is Owner and has the following contact phone number (912) 385-2732.

The CLIA number assigned to this NPI record is 11D2165818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2018 and was last updated on 11/14/2018.


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
1207Q00000XFamily MedicineYes

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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