Southside Medical Center, Inc.

NPI #1962529529 in Hampton, Georgia

Provider Information

NPI Number: 1962529529
Entity Type: Organization
Organization Name: Southside Medical Center, Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Mar 26, 2007
Last Updated: Jul 9, 2025

Practice Location

Address: 2201 TALMADGE RD
City: Hampton
State: Georgia
ZIP Code: 30228-1608
Phone: (678) 593-4666

Authorized Official

Name: MR. MASRESHA KASSA, CPA
Title: CFO
Phone: (404) 564-7009

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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