| NPI | 1528299393 |
|---|---|
| Other Name | SOUTHERN FAMILY MEDICINE LLC |
| Former Legal Business Name | TRI-CARE FAMILY MEDICINE LLC |
| Entity Type | Organization |
| Authorized Contact | CINDY R RUSH Billing Manager 912-290-5235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 43354) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2023-08-08 |