Organization · Type 2 NPI
Southern Healthcare Collaboration, Inc
Primary Care Nurse Practitioner · Baxley, GA
NPI number
1750087490
Active
Practice location
224 Peachtree St
Baxley, GA 31513-8079
Fax (912) 705-5484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1750087490
Southern Healthcare Collaboration, Inc's National Provider Identifier is 1750087490, issued on Feb 3, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Baxley, GA. The record was last updated on Mar 24, 2026.