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Organization
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Active
Organization
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BONDS TUCKER (CEO)
(229) 468-9166
Entity
Organization
Contact information
Practice address
2301 N ASHLEY ST, VALDOSTA, GA 31602-2620
(229) 270-2403
Mailing address
PO BOX 749, OCILLA, GA 31774-0749
(229) 468-9166
(229) 468-9188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
03/31/2025
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