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Organization

SOUTHLAND TOTAL HEALTHCARE SYSTEMS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILATRA AWONIYI D.D.S. (OFFICE MANAGER)
(256) 353-0410
Entity
Organization

Contact information

Practice address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649
Mailing address
2046 BELTLINE RD SW, DECATUR, AL 35601-5549
(256) 353-0410
(256) 353-0649

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3912
AL
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
9604
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529702900
AL
Enumeration date
04/09/2007
Last updated
09/18/2007
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