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Contact Information

JOE T SOUTHERLAND, DPM
49 GORDON RD
SUITE 104
JASPER, GA30143
 Phone: 770-999-0804
 Fax: 770-999-0814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOE T SOUTHERLAND · (Male)

NPI # 1659321107
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/12/2006
Last updated 02/18/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # POD000709
  • TX License # 1473
  • TX Other 8F8971 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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