Organization
SOUTHERN COMPANIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN MACK JERNIGAN JR. (CO-OWNERS)
(678) 971-4147
Entity
Organization
Contact information
Practice address
623 GREEN ST NW, SUITE B, GAINESVILLE, GA 30501-3381
(678) 971-4147
(770) 825-9221
Mailing address
PO BOX 1082, GAINESVILLE, GA 30503-1082
(678) 971-4147
(770) 825-9221
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
069-R-0635
GA
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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