# SOUTHERN HEALTH MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386949394
- **Authorized official:** JEFFREY JOHN GONZALEZ (PRESIDENT)
- **Authorized official phone:** (404) 981-6337

## Contact information

- **Practice address:** 2060 NORTHLAKE PKWY, TUCKER, GA 30084-7012
- **Practice address phone:** (404) 981-6337
- **Practice address fax:** (888) 336-7611
- **Mailing address:** 2060 NORTHLAKE PKWY, TUCKER, GA 30084-7012
- **Mailing address phone:** (404) 981-6337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 00224953 | GA | Yes |

## Other

- **Enumeration date:** 01/22/2011
- **Last updated:** 01/22/2011