Primary Care of Southwest Georgia, Inc.

NPI #1790223352 in Quitman, Georgia

Provider Information

NPI Number
1790223352
Entity Type
Organization
Organization Name
Primary Care of Southwest Georgia, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 3, 2017
Last Updated
Feb 3, 2017

Practice Location

Address
907 N COURT ST
State
Georgia
ZIP Code
31643-1315
Phone
(229) 263-4531

Authorized Official

Name
EDWIN JAMES
Title
CFO
Phone
(229) 723-2660

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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