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Southern Healthcare Consulting, LLC

Clinic/Center, Primary Care in Baxley, GA. Organization (NPI-2).

NPI number1386581478
StatusActive
Last updated in NPPESApr 29, 2026

Details

NPI
1386581478
Entity type
Organization (NPI-2)
Legal business name
Southern Healthcare Consulting, LLC
Organization subpart
No
Enumeration date
Apr 29, 2026
Certification date
Apr 29, 2026
Last updated
Apr 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

68 Mony St
Baxley, GA 31513-7135

Phone 912-278-0410

Mailing address

68 Mony St
Baxley, GA 31513-7135

Phone 912-278-0410

Authorized official

Patricia Ann Keeton
Credentialing
9122783308

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