East Georgia Healthcare Center INC

NPI #1346625928 in Wadley, Georgia

Provider Information

NPI Number: 1346625928
Entity Type: Organization
Organization Name: East Georgia Healthcare Center INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jul 24, 2015
Last Updated: Jul 24, 2015

Practice Location

Address: 257 N MAIN ST
City: Wadley
State: Georgia
ZIP Code: 30477
Phone: (478) 252-0027

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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