Organization
SOUTHERN FAMILY HEALTHCARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MARK GARNEY ARNPC (PRESIDENT)
(850) 638-5512
Entity
Organization
Contact information
Practice address
877 3RD ST STE 4, CHIPLEY, FL 32428-1855
(850) 638-4383
(850) 415-6783
Mailing address
877 3RD ST STE 4, CHIPLEY, FL 32428-1855
(850) 638-4383
(850) 415-6783
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660167700
—
FL
Enumeration date
05/04/2007
Last updated
10/18/2017
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