Southland Sports Medicine And Wellness, Inc. in Blue Ridge - Family Medicine
Southland Sports Medicine And Wellness, Inc. - NPI 1487671475
Southland Sports Medicine And Wellness, Inc. is a Family Medicine in Blue Ridge, Georgia. Southland Sports Medicine And Wellness, Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Southland Sports Medicine And Wellness, Inc. is 1487671475. The last update date is 2020-08-22.
Southland Sports Medicine And Wellness, Inc.'s current location address is 809 E Main St, Blue Ridge, Georgia. You can contact this provider via phone number 7066322200. The mailing address for Southland Sports Medicine And Wellness, Inc. is 809 E Main St, Blue Ridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southland Sports Medicine And Wellness, Inc. |
|---|---|
| Address | 809 E Main St, Blue Ridge, Georgia |
| Phone Number | 7066322200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/ PHY |
|---|---|
| Authorized Official Name | Leski Mark |
| Credentials | MD |
| Telephone Number | 7066322200 |
NPI Number Detail
| NPI Number | 1487671475 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 809 E Main St |
|---|---|
| City | Blue Ridge |
| State | Georgia (GA) |
| Post Code | 305134575 |
| Phone Number | 7066322200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 33624 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Southland Sports Medicine And Wellness, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Southland Sports Medicine And Wellness, Inc. has been assigned the NPI (National Provider Identifier) 1487671475. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Southland Sports Medicine And Wellness, Inc.'s facilities are geographically located?
The facilities of Southland Sports Medicine And Wellness, Inc. are physically situated at the following location: 809 E Main St, Blue Ridge, GA, 305134575.
What is Southland Sports Medicine And Wellness, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southland Sports Medicine And Wellness, Inc. is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When was the Southland Sports Medicine And Wellness, Inc.'s 1487671475 issued?
The Southland Sports Medicine And Wellness, Inc.'s 1487671475 was issued on 2006-07-16.
As of what date were the Southland Sports Medicine And Wellness, Inc.'s details last updated?
The information pertaining to the Southland Sports Medicine And Wellness, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.