Southern Healthcare Providers

NPI #1568660744 in Greenwood, Mississippi

Provider Information

NPI Number
1568660744
Entity Type
Organization
Organization Name
Southern Healthcare Providers
Primary Specialty
Medical Genetics, Ph.D. Medical Genetics
Enumeration Date
Jul 10, 2007
Last Updated
Jul 10, 2007

Practice Location

Address
1401 RIVER RD
ZIP Code
38930-4030
Phone
(770) 429-1411

Authorized Official

Name
DR. RODERICK C GIVENS, M.D.
Title
PRESIDENT
Phone
(770) 429-1411

Specialties & Taxonomy Codes

Specialty
Medical Genetics, Ph.D. Medical Genetics

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