Primary Care of Southwest Georgia, INC

NPI #1932877610 in Blakely, Georgia

Provider Information

NPI Number
1932877610
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
Aug 30, 2021
Last Updated
Aug 30, 2021

Practice Location

Address
283 MARTIN LUTHER KING JR BLVD
State
Georgia
ZIP Code
39823-3455
Phone
(229) 723-4101

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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