| NPI | 1144038274 |
|---|---|
| Doing Business As | NU SOUTH PROVIDERS LLC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAVIS Credentialing Specialists 912-373-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-24 |