Primary Health Care Center of Dade, Inc.
NPI #1891395620 in La Fayette, Georgia
Provider Information
- NPI Number
- 1891395620
- Entity Type
- Organization
- Organization Name
- Primary Health Care Center of Dade, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 30, 2020
- Last Updated
- Dec 10, 2020
Practice Location
- Address
- 10 PROBASCO ST UNIT 214
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-2316
- Phone
- (706) 719-0888
Authorized Official
- Name
- AMY BUFFINGTON
- Title
- CREDENTIALING DIRECTOR
- Phone
- (706) 620-4494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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| Walter Kenneth Austin JR., MD |  AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Primary Health Care Center of Dade, Inc. | AI Deep Dive |
| Primary Health Care Center of Dade, Inc. | AI Deep Dive |
| Primary Health Care Center of Dade, Inc. | AI Deep Dive |
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