NPI | 1740491257 |
---|---|
Doing Business As | SOUTHERN HEALTHCARE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | NELSON E MEDRANO Managing Member Of LLC 770-792-0927 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 7142) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 8031) |
207R00000X Internal Medicine (Licence: GA 022067) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2020-08-22 |