Individual
GINA SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14288 E OLD US HWY 12 STE 100, CHELSEA, MI 48118-2700
(734) 475-9175
Mailing address
14288 E OLD US HWY 12 STE 100, CHELSEA, MI 48118-2700
(734) 475-9175
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301098173
MI
208000000X
Pediatrics Physician
51391
CO
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
4301098173
MI
Other
Enumeration date
05/06/2008
Last updated
10/12/2023
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