Primary Health Care Center of Dade, Inc.

NPI #1235505678 in La Fayette, Georgia

Provider Information

NPI Number
1235505678
Entity Type
Organization
Organization Name
Primary Health Care Center of Dade, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 20, 2015
Last Updated
Aug 20, 2015

Practice Location

Address
87 S BURNT MILL RD
State
Georgia
ZIP Code
30728-4263
Phone
(706) 620-4494

Authorized Official

Name
DIANA ALLEN
Title
CEO
Phone
(706) 620-4494

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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