Individual
JOSEPH C SOUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E BROAD ST, WINDER, GA 30680-2206
(770) 867-9181
(770) 867-4817
Mailing address
251 E BROAD ST, WINDER, GA 30680-2206
(770) 867-9181
(770) 867-4817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015425
GA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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