# SOUTHERN ROOTS DPC LLC

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

## Provider details

- **NPI number:** 1710870944
- **Authorized official:** DR. SUMMER ALVAREZ DO (CO OWNER AND PHYSICIAN)
- **Authorized official phone:** (229) 300-3642

## Contact information

- **Practice address:** 407 N PARRISH AVE, ADEL, GA 31620-2076
- **Practice address phone:** (229) 300-3642
- **Mailing address:** 407 N PARRISH AVE, ADEL, GA 31620-2076
- **Mailing address phone:** (229) 414-7055
- **Mailing address fax:** (229) 658-8147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 09/20/2026