Primary Health Care Center of Dade, Inc.

NPI #1437102449 in Trenton, Georgia

Provider Information

NPI Number
1437102449
Entity Type
Organization
Organization Name
Primary Health Care Center of Dade, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 19, 2006
Last Updated
Jan 21, 2019

Practice Location

Address
13570 N MAIN ST
State
Georgia
ZIP Code
30752-2012
Phone
(706) 956-2665

Authorized Official

Name
LINDA S NIXON, CFO
Title
CHIEF FINANCIAL OFFICER
Phone
(706) 657-7575

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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