Organization
SOUTHERN HEALTHCARE ALLIANCE, LLC
Active
Other names
Southern Neurology, Physical Medicine & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI L SWADER M.D. (PHYSICIAN/OWNER)
(229) 262-1981
Entity
Organization
Contact information
Practice address
101-F W. NORTHSIDE DRIVE, VALDOSTA, GA 31602
(229) 262-1981
(229) 375-0392
Mailing address
101-F W. NORTHSIDE DRIVE, VALDOSTA, GA 31602
(229) 262-1981
(229) 375-0392
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003208546C
—
GA
05
—
003229819A
—
GA
Enumeration date
05/08/2018
Last updated
08/12/2020
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