Organization
SOUTHLAND NAHUNTA, LLC
Active
Other names
Satilla Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN STEVEN WILLIAMS D.O. (CMO)
(229) 300-5869
Entity
Organization
Contact information
Practice address
13202 CLEVELAND ST W, SUITE 200, NAHUNTA, GA 31553-2875
(229) 300-5896
(229) 269-4874
Mailing address
13202 CLEVELAND ST W, SUITE 200, NAHUNTA, GA 31553-2875
(229) 300-5896
(229) 269-4874
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
59237
GA
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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