Organization
SOUTHLAKE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN JAMES BROE DC (PROPRIETOR)
(404) 884-0298
Entity
Organization
Contact information
Practice address
1096 MOUNT ZION RD STE 1130, MORROW, GA 30260-2213
(678) 604-7739
(470) 615-7772
Mailing address
1096 MOUNT ZION RD STE 1130, MORROW, GA 30260-2213
(678) 604-7739
(470) 615-7772
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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