| Southern Health Management Inc | |
|
2060 Northlake Pkwy Tucker GA 30084-7012 | |
| (404) 981-6337 | |
| (888) 336-7611 |
| Full Name | Southern Health Management Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2060 Northlake Pkwy, Tucker, Georgia |
| Authorized Official Name and Position | Jeffrey John Gonzalez (PRESIDENT) |
| Authorized Official Contact | 4049816337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Health Management Inc 2060 Northlake Pkwy Tucker GA 30084-7012 Ph: (404) 981-6337 | Southern Health Management Inc 2060 Northlake Pkwy Tucker GA 30084-7012 Ph: (404) 981-6337 |
| NPI Number | 1386949394 |
|---|---|
| Provider Enumeration Date | 01/22/2011 |
| Last Update Date | 01/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386949394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 00224953 (Georgia) | Primary |
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