Organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MCVEY (CEO)
(229) 723-2660
Entity
Organization
Contact information
Practice address
454 SMITH AVE, THOMASVILLE, GA 31792-5535
(229) 227-5510
(229) 227-5527
Mailing address
PO BOX 1479, THOMASVILLE, GA 31799-1479
(229) 227-5510
(229) 227-5527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024893266C
—
GA
Enumeration date
07/11/2007
Last updated
03/03/2022
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