Organization · Type 2 NPI
Southland Nahunta, LLC
Clinic/Center · Nahunta, GA
NPI number
1265863856
Active
Practice location
13202 Cleveland St W, Suite 200
Nahunta, GA 31553-2875
Fax (229) 269-4874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 59237 (GA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
About NPI 1265863856
Southland Nahunta, LLC's National Provider Identifier is 1265863856, issued on Dec 6, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Nahunta, GA. The record was last updated on Dec 6, 2013.