Southern Medical Group INC

NPI #1609086255 in Sylacauga, Alabama

Provider Information

NPI Number: 1609086255
Entity Type: Organization
Organization Name: Southern Medical Group INC
Primary Specialty: Emergency Medicine
Enumeration Date: May 23, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 315 W HICKORY ST
City: Sylacauga
State: Alabama
ZIP Code: 35150-2913
Phone: (256) 249-5700

Authorized Official

Name: MS. CLARICE D KENNEDY
Title: PROVIDER ENROLLMENT SPECIALIST
Phone: (205) 995-7980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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