Southland Nahunta, LLC

NPI #1265863856 in Nahunta, Georgia

Provider Information

NPI Number
1265863856
Entity Type
Organization
Organization Name
Southland Nahunta, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Dec 6, 2013
Last Updated
Dec 6, 2013

Practice Location

Address
13202 CLEVELAND ST W
Address 2
SUITE 200
State
Georgia
ZIP Code
31553-2875
Phone
(229) 300-5896

Authorized Official

Name
DR. JONATHAN STEVEN WILLIAMS, D.O.
Title
CMO
Phone
(229) 300-5869

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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