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1235776220
SOUTHLAKE HEALTH CARE
MORROW, GA
NPI
1235776220
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Entity Type
Organization
Authorized Contact
JUSTIN JAMES BROE
Proprietor
404-884-0298
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
SOUTHLAKE HEALTH CARE
1096 MOUNT ZION RD STE 1130
MORROW, GA 30260-2213
Phone number: 678-604-7739
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Mailing Address
SOUTHLAKE HEALTH CARE
1096 MOUNT ZION RD STE 1130
MORROW, GA 30260-2213
Phone number: 678-604-7739
Copy
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