| NPI | 1750087490 |
|---|---|
| Doing Business As | SOUTHERN HEALTHCARE COLLABORATION, INC |
| Entity Type | Organization |
| Authorized Contact | KNICOLE ANN LEE Owner 912-278-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 207Q00000X Family Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-07-10 |