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SOUTHLAKE HEALTH CARE
NPI 1235776220
Clinic/Center in Morrow, GA

Active since December 09, 2019
1096 MOUNT ZION RD STE 1130, MORROW, GA 30260(678) 604-7739(470) 615-7772 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southlake Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE HEALTH CARE (NPI 1235776220) is a healthcare organization registered as a clinic/center in Morrow, Georgia and active in the NPI registry since December 2019. The organization lists Justin James Broe, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1235776220
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHLAKE HEALTH CARE
Location Address1096 MOUNT ZION RD STE 1130Morrow, GA 30260-2213
Mailing Address1096 Mount Zion Rd Ste 1130Morrow, GA 30260-2213 · (678) 604-7739 · Fax (470) 615-7772
Phone(678) 604-7739
Fax(470) 615-7772
Organization SubpartNo
Authorized OfficialJustin James BroeProprietor · (404) 884-0298
Enumeration DateDecember 9, 2019
✔ NPI 1235776220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1096 MOUNT ZION RD STE 1130, Morrow, GA 30260
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southlake Health Care's NPI number?

The NPI number for Southlake Health Care is 1235776220. It was assigned to this organization in the NPPES registry on December 9, 2019.

Where is Southlake Health Care located?

Southlake Health Care is located at 1096 Mount Zion Rd Ste 1130, Morrow, GA 30260. The listed phone number is (678) 604-7739.

What is Southlake Health Care's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southlake Health Care was last updated on December 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.