# SOUTHERN HEALTHCARE SYSTEMS LLC

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

## Provider details

- **NPI number:** 1871973537
- **Authorized official:** DR. JONATHAN DAVID WADE DO (PRESIDENT)
- **Authorized official phone:** (770) 235-3301

## Contact information

- **Practice address:** 380 N CHURCH ST, HOMERVILLE, GA 31634-2452
- **Practice address phone:** (912) 487-2345
- **Mailing address:** 380 N CHURCH ST, HOMERVILLE, GA 31634-2452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 66666 | GA | Yes |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 06/08/2015