Southland Sports Medicine And Wellness, Inc.

LBN: Southland Sports Medicine And Wellness, Inc.
Southland Sports Medicine And Wellness, Inc. is an health care organization with primary practice located at 809 E Main St , Blue Ridge GA 30513-4575. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Southland Sports Medicine And Wellness, Inc. can be contacted via phone (706) 632-2200, or through Leski, Mark via phone (706) 632-2200.

Contact Information

Primary practice address
809 E Main St Blue Ridge GA 30513-4575
Phone: (706) 632-2200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leski, Mark Doctor of Medicine (MD)
Phone: (706) 632-2200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33624 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X

Profile Details

NPI number 1487671475
LBN Legal business name Southland Sports Medicine And Wellness, Inc.
DBA Doing business as
Authorized official Leski, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 22nd, 2020 - about 5 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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