# PRIMARY CARE OF SOUTHWEST GEORGIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIMARY CARE OF SOUTHWEST GEORGIA, INC
- **Other names:** Blakely Primary Care Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407698822
- **Legal business name:** PRIMARY CARE OF SOUTHWEST GEORGIA, INC
- **Authorized official:** EDWIN JAMES (CEO)
- **Authorized official phone:** (229) 723-2660

## Contact information

- **Practice address:** 360 COLLEGE ST, BLAKELY, GA 39823-2554
- **Practice address phone:** (229) 723-2660
- **Mailing address:** 360 COLLEGE ST, BLAKELY, GA 39823-2554
- **Mailing address phone:** (229) 723-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2024
- **Last updated:** 06/07/2024