| Organization Name: | GEORGIA PHYSICIANS SOUTH, P.C. |
| NPI Number: | 1710383526 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TANNIS ALLIGOOD (PRESIDENT) |
| Mailing Address: | 71 Johnson St Nahunta |
| State: | GA US |
| Postal Code: | 315534032 |
| Phone Number: | 9124628920 |
| Fax Number: | 9124625184 |
| NPI Enumeration Date: | 11/06/2014 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |