Primary Care of Southwest Georgia, Inc.

NPI #1780607754 in Blakely, Georgia

Provider Information

NPI Number
1780607754
Entity Type
Organization
Organization Name
Primary Care of Southwest Georgia, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 25, 2006
Last Updated
May 15, 2014

Practice Location

Address
360 COLLEGE STREET
State
Georgia
ZIP Code
39823
Phone
(229) 723-2660

Authorized Official

Name
MR. EDWIN V JAMES, BBA MBA
Title
CHIEF FINANCIAL OFFICER
Phone
(229) 723-2660

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Internal Medicine
Family Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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Provider Name
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Organizations

Provider Name
Primary Care of Southwest Georgia, INC

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