Primary Health Care Center of Dade, Inc.

NPI #1780312710 in Rossville, Georgia

Provider Information

NPI Number: 1780312710
Entity Type: Organization
Organization Name: Primary Health Care Center of Dade, Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Aug 9, 2022
Last Updated: Aug 9, 2022

Practice Location

Address: 316 BULL DOG TRL
City: Rossville
State: Georgia
ZIP Code: 30741-6336
Phone: (706) 866-5520

Authorized Official

Name: AMY BUFFINGTON
Title: CREDENTIALING DIRECTOR
Phone: (706) 620-4494

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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