Organization
SOUTHCARE OF DOUGLAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGE ECHEBELEM (OPERATING OFFICER)
(404) 552-4361
Entity
Organization
Contact information
Practice address
208 PETERSON AVE S, SUITE 203, DOUGLAS, GA 31533-5239
(404) 552-4361
(229) 888-3558
Mailing address
208 PETERSON AVE S, SUITE 203, DOUGLAS, GA 31533-5239
(404) 552-4361
(229) 888-3558
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
034-R-0641
GA
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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