Southern Primary Care and Behavioral Health Services, LLC

NPI #1508584319 in Baxley, Georgia

Provider Information

NPI Number
1508584319
Entity Type
Organization
Organization Name
Southern Primary Care and Behavioral Health Services, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 17, 2022
Last Updated
Aug 17, 2022

Practice Location

Address
224 PEACHTREE ST
City
Baxley
State
Georgia
ZIP Code
31513-8079
Phone
(912) 278-0410

Authorized Official

Name
KNICOLE ANN LEE
Title
OWNER
Phone
(912) 278-0410

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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