Organization
SOUTHERN ROOTS DPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMMER ALVAREZ DO (CO OWNER AND PHYSICIAN)
(229) 300-3642
Entity
Organization
Contact information
Practice address
407 N PARRISH AVE, ADEL, GA 31620-2076
(229) 300-3642
Mailing address
6888 MCNEAL RD, HAHIRA, GA 31632-2029
(229) 300-3642
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
06/10/2025
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