SOUTHERN HEALTHCARE PROVIDER GROUP, LLC
Anesthesiologist Assistant at Decatur Rd, Decatur, GA

License number
Georgia 021447
Category
Osteopathic Medicine
Type
General Practice
License number
Georgia CHIRO07897
Category
Chiropractic
Type
Rehabilitation
Owner
Name: NELSON MEDRANO
Title: CLINIC DIRECTOR
Phone: (770) 792-7893
Address
Address 2
2754 N Decatur Rd SUITE 110, Decatur, GA 30033
PO Box 6881, Marietta, GA 30065
National Provider ID: 1922273747
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTHERN HEALTHCARE PROVIDER GROUP, LLC at bizstanding.com

SOUTHERN HEALTHCARE PROVIDER GROUP, LLC

3000 Windy Hl Rd A9, Marietta, GA 30067

Status:
Inactive
Registration:
Feb 20, 2006
Inactive since:
Sep 2, 2012
State ID:
0615674
Business type:
Domestic Limited Liability Company
Agent:
Nelson Medrano,2759 Delk Rd STE 101, Marietta, GA 30067 (Physical)

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