National Provider Identifier Database

SOUTHERN HEALTHCARE ALLIANCE LLC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

SOUTHERN HEALTHCARE ALLIANCE, LLC
101-F W. NORTHSIDE DRIVE
VALDOSTA, GA31602
Phone: 229-262-1981
Fax: 229-375-0392
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Physical Medicine & Rehabilitation 208100000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN HEALTHCARE ALLIANCE, LLC

NPI Number 1962991703
Legal business name
LBN
SOUTHERN HEALTHCARE ALLIANCE, LLC
Authorized official SHERI SWADER - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/08/2018
Last updated 08/12/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003208546C
  • GA Medicaid: 003229819A

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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