Organization
SOUTHLAKE HEALTH CARE
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up