# WINDER MEDICAL PA

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

## Provider details

- **NPI number:** 1437372661
- **Authorized official:** DR. JOE C SOUTHER MD (OWNER)
- **Authorized official phone:** (770) 867-9181

## Contact information

- **Practice address:** 251 E BROAD ST, WINDER, GA 30680-2206
- **Practice address phone:** (770) 867-9181
- **Practice address fax:** (770) 867-4817
- **Mailing address:** 251 E BROAD ST, WINDER, GA 30680-2206
- **Mailing address phone:** (770) 867-9181
- **Mailing address fax:** (770) 867-4817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 15425 | GA | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020