SOUTHERN HEALTHCARE ALLIANCE, LLC; NPI #1962991703

Contact Information

SOUTHERN HEALTHCARE ALLIANCE, LLC

101-F W. NORTHSIDE DRIVE
VALDOSTA, GA 31602

Phone: 229-262-1981
Fax: 229-375-0392
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Neurology	2084N0400X	13	Physician/Neurology
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for SOUTHERN HEALTHCARE ALLIANCE, LLC

NPI # 1962991703

LBN Legal business name SOUTHERN HEALTHCARE ALLIANCE, LLC

Authorized official SHERI SWADER - (PHYSICIAN/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/08/2018

Last updated 08/12/2020 - About 6 years ago

Identifiers

GA	Medicaid	003208546C
GA	Medicaid	003229819A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTHERN HEALTHCARE ALLIANCE, LLC

Contact Information

Specialty

Neurology

Physical Medicine & Rehabilitation

NPI Profile & details for SOUTHERN HEALTHCARE ALLIANCE, LLC

Reviews for SOUTHERN HEALTHCARE ALLIANCE, LLC