Organization
SOUTHERN HEALTHCARE COLLABORATION, INC
Active
Other names
Southern Healthcare Collaboration, INC
Organization subpart
No
Provider details
NPI number
Authorized official
KNICOLE ANN LEE (OWNER)
(912) 278-0410
Entity
Organization
Contact information
Practice address
224 PEACHTREE ST, BAXLEY, GA 31513-8079
(912) 705-5483
(912) 705-5484
Mailing address
224 PEACHTREE ST, BAXLEY, GA 31513-8079
(912) 705-5483
(912) 705-5484
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
03/24/2026
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