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Organization
SOUTHLAND TOTAL HEALTHCARE SYSTEMS, INC.
Active
Organization
SOUTHLAND TOTAL HEALTHCARE SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILATRA AWONIYI D.D.S. (OFFICE MANAGER)
(256) 353-0410
Entity
Organization
Contact information
Practice address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Mailing address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3912
AL
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
9604
AL
Other
Enumeration date
04/09/2007
Last updated
09/18/2007
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