Southern Neurology, Physical Medicine & Rehabilitation
LBN: Southern Healthcare Alliance, Llc
Southern Neurology, Physical Medicine & Rehabilitation is an health care organization with primary practice located at 101-F W. Northside Drive , Valdosta GA 31602. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Southern Healthcare Alliance, Llc can be contacted via phone (229) 262-1981, or through Swader, Sheri L via phone (229) 262-1981.
Contact Information
Primary practice address
101-F W. Northside Drive
Valdosta GA 31602
Phone: (229) 262-1981
Fax: (229) 375-0392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X |
Profile Details
| NPI number | 1962991703 |
|---|---|
| LBN Legal business name | Southern Healthcare Alliance, Llc |
| DBA Doing business as | Southern Neurology, Physical Medicine & Rehabilitation |
| Authorized official | Swader, Sheri L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2018 |
| Last updated | Aug 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962991703 | NPPES |
| Georgia | MEDICAID | 003208546C | |
| Georgia | MEDICAID | 003229819A |
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