Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southlake Health Care

Organization Clinic/Center · NPI 1235776220

Southlake Health Care is a Clinic/Center in Morrow, Georgia. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1096 Mount Zion Rd Ste 1130
Morrow, GA 30260-2213
Phone: (678) 604-7739
Fax: (470) 615-7772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1235776220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Broe — Proprietor · (404) 884-0298
NPI enumeratedDecember 9, 2019
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing address1096 Mount Zion Rd Ste 1130, Morrow, GA 30260-2213

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