Southern Healthcare

LBN: Southern Healthcare Provider Group, Llc
Southern Healthcare is an health care organization with primary practice located at 2754 N Decatur Rd Suite 110, Decatur GA 30033-5917. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Allopathic & Osteopathic Physicians / General Practice. Chiropractic Providers / Rehabilitation is the primary health care specialty. Southern Healthcare Provider Group, Llc can be contacted via phone (404) 838-0082, or through Medrano, Nelson via phone (770) 792-7893.

Contact Information

Primary practice address
2754 N Decatur Rd Suite 110 Decatur GA 30033-5917
Phone: (404) 838-0082
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medrano, Nelson
Phone: (770) 792-7893

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X CHIRO07897 Georgia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 021447 Georgia

Profile Details

NPI number 1922273747
LBN Legal business name Southern Healthcare Provider Group, Llc
DBA Doing business as Southern Healthcare
Authorized official Medrano, Nelson
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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