Southland Sports Medicine And Wellness, Inc. | |
809 E Main St Blue Ridge GA 30513-4575 | |
(706) 632-2200 | |
Not Available |
Full Name | Southland Sports Medicine And Wellness, Inc. |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
Location | 809 E Main St, Blue Ridge, Georgia |
Authorized Official Name and Position | Mark Leski (OWNER/ PHYSICIAN) |
Authorized Official Contact | 7066322200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southland Sports Medicine And Wellness, Inc. 809 E Main St Blue Ridge GA 30513-4575 Ph: () - | Southland Sports Medicine And Wellness, Inc. 809 E Main St Blue Ridge GA 30513-4575 Ph: (706) 632-2200 |
NPI Number | 1487671475 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1487671475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33624 (Georgia) | Primary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | (* (Not Available)) | Primary |
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