Individual
JAMES E SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 HARMONY XING STE 1, EATONTON, GA 31024-9546
(706) 484-0884
(706) 484-0885
Mailing address
114 HARMONY XING STE 1, EATONTON, GA 31024-9546
(706) 484-0884
(706) 484-0885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024632
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024632
LICENSE NUMBER
GA
Enumeration date
01/30/2006
Last updated
01/17/2023
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