| Southland Sports Medicine And Wellness, Inc. | |
|
809 E Main St Blue Ridge GA 30513-4575 | |
| (706) 632-2200 | |
| Not Available |
| Full Name | Southland Sports Medicine And Wellness, Inc. |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
| Location | 809 E Main St, Blue Ridge, Georgia |
| Authorized Official Name and Position | Mark Leski (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 7066322200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southland Sports Medicine And Wellness, Inc. 809 E Main St Blue Ridge GA 30513-4575 Ph: () - | Southland Sports Medicine And Wellness, Inc. 809 E Main St Blue Ridge GA 30513-4575 Ph: (706) 632-2200 |
| NPI Number | 1487671475 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487671475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33624 (Georgia) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | (* (Not Available)) | Primary |
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