| Southlake Health Care | |
|
1096 Mount Zion Rd Ste 1130 Morrow GA 30260-2213 | |
| (678) 604-7739 | |
| (470) 615-7772 |
| Full Name | Southlake Health Care |
|---|---|
| Speciality | Clinic/center |
| Location | 1096 Mount Zion Rd Ste 1130, Morrow, Georgia |
| Authorized Official Name and Position | Justin James Broe (PROPRIETOR) |
| Authorized Official Contact | 4048840298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southlake Health Care 1096 Mount Zion Rd Ste 1130 Morrow GA 30260-2213 Ph: (678) 604-7739 | Southlake Health Care 1096 Mount Zion Rd Ste 1130 Morrow GA 30260-2213 Ph: (678) 604-7739 |
| NPI Number | 1235776220 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235776220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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