Southern Family Walk-In

LBN: Southern Family Walk-In
Southern Family Walk-In is an health care organization with primary practice located at 73 Sw Park Ave Ste B , Baxley GA 31513-0485. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Southern Family Walk-In can be contacted via phone (912) 705-8050, or through Alferink, Jessica Marie via phone (912) 278-0491.

Contact Information

Primary practice address
73 Sw Park Ave Ste B Baxley GA 31513-0485
Phone: (912) 705-8050
Fax: (912) 705-8051
Website:
Map and Directions
Authorized official contact:
Name: Alferink, Jessica Marie Family Nurse Practitioner (FNP)
Phone: (912) 278-0491

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1588266977
LBN Legal business name Southern Family Walk-In
DBA Doing business as
Authorized official Alferink, Jessica Marie Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2020
Last updated Nov 11th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588266977 NPPES
Georgia MEDICAID 1235627464

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