East Georgia Healthcare Center, Inc.

NPI #1558105684 in Soperton, Georgia

Provider Information

NPI Number: 1558105684
Entity Type: Organization
Organization Name: East Georgia Healthcare Center, Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jun 24, 2024
Last Updated: May 14, 2025

Practice Location

Address: 7892 GA HIGHWAY 29
City: Soperton
State: Georgia
ZIP Code: 30457-5386
Phone: (478) 237-2638

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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