| NPI | 1548424914 |
|---|---|
| Other Name | SOUTHERN HEALTHCARE PROVIDERS PA |
| Entity Type | Organization |
| Authorized Contact | RODERICK GIVENS President 770-443-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X (Licence: MS 14914) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |