East Georgia Healthcare Center INC

NPI #1235621418 in Claxton, Georgia

Provider Information

NPI Number: 1235621418
Entity Type: Organization
Organization Name: East Georgia Healthcare Center INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jun 4, 2018
Last Updated: Jun 4, 2018

Practice Location

Address: 6459 US HWY 301 S
City: Claxton
State: Georgia
ZIP Code: 30417
Phone: (478) 299-6992

Authorized Official

Name: JILL R SORRELLS
Title: CFO
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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