East Georgia Healthcare Center INC

NPI #1366089062 in Sylvania, Georgia

Provider Information

NPI Number: 1366089062
Entity Type: Organization
Organization Name: East Georgia Healthcare Center INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Dec 2, 2019
Last Updated: Sep 30, 2021

Practice Location

Address: 330 MIMS RD
City: Sylvania
State: Georgia
ZIP Code: 30467-1992
Phone: (912) 451-5887

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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