South Central Primary Care Center, INC

NPI #1295236503 in Douglas, Georgia

Provider Information

NPI Number: 1295236503
Entity Type: Organization
Organization Name: South Central Primary Care Center, INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Feb 22, 2018
Last Updated: Nov 20, 2024

Practice Location

Address: 303 SHIRLEY AVE STE A
City: Douglas
State: Georgia
ZIP Code: 31533-2367
Phone: (912) 383-8806

Authorized Official

Name: ROBERT BONDS TUCKER
Title: CEO
Phone: (229) 468-9166

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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