Southern Customz LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

SOUTHERN CUSTOMZ LLC

Practice address

390 Robin Way
East Dublin, GA 31027-1694

Phone

(470) 217-5857

Fax

(478) 304-1254

NPI assigned

Mar 17, 2015

Last updated

Mar 17, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Johnard McLendon

Title

Ceo

Phone

(470) 217-5857

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1073906996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 ROBIN WAY",
            "city": "EAST DUBLIN",
            "state": "GA",
            "postal_code": "310271694",
            "telephone_number": "470-217-5857",
            "fax_number": "478-304-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ROBIN WAY",
            "city": "EAST DUBLIN",
            "state": "GA",
            "postal_code": "310271694",
            "telephone_number": "470-217-5857",
            "fax_number": "478-304-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CUSTOMZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "JOHNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-217-5857"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in East Dublin, GA
• Providers in East Dublin, GA by specialty
• Private Vehicle in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.