East Georgia Healthcare Center INC

NPI #1194258327 in Millen, Georgia

Provider Information

NPI Number: 1194258327
Entity Type: Organization
Organization Name: East Georgia Healthcare Center INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Apr 5, 2017
Last Updated: Apr 5, 2017

Practice Location

Address: 1075 E WINTHROPE AVE
City: Millen
State: Georgia
ZIP Code: 30442-6766
Phone: (478) 237-2638

Authorized Official

Name: JENNIE WREN C DENMARK
Title: CEO
Phone: (478) 237-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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