Organization
SOUTHSIDE MEDICAL CENTER, INC
Active
Other names
Southside Medical Center -Stockbridge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MASRESHA KASSA CPA (CFO)
(404) 564-7009
Entity
Organization
Contact information
Practice address
3576 HIGHWAY 138 SE, STOCKBRIDGE, GA 30281-7909
(404) 688-1350
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
07/09/2025
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