Organization
SOUTHERN HEALTH MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JOHN GONZALEZ (PRESIDENT)
(404) 981-6337
Entity
Organization
Contact information
Practice address
2060 NORTHLAKE PKWY, TUCKER, GA 30084-7012
(404) 981-6337
(888) 336-7611
Mailing address
2060 NORTHLAKE PKWY, TUCKER, GA 30084-7012
(404) 981-6337
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
00224953
GA
Other
Enumeration date
01/22/2011
Last updated
01/22/2011
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