| NPI | 1922273747 |
|---|---|
| Doing Business As | SOUTHERN HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | NELSON MEDRANO Clinic Director 770-792-7893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: GA chiro07897) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 021447) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |