Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southland Sports Medicine and Wellness, Inc

Organization Family Medicine Physician · NPI 1487671475

Southland Sports Medicine and Wellness, Inc provides Family Medicine Physician services in Blue Ridge, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

809 E Main St
Blue Ridge, GA 30513-4575
Phone: (706) 632-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X
Family Medicine Physician Taxonomy 207Q00000X · Licence 33624 (GA)

Record details

NPI number1487671475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Leski — Owner/ Physician · (706) 632-2200
NPI enumeratedJuly 16, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address809 E Main St, Blue Ridge, GA 30513-4575

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