Organization
SOUTHWEST GEORGIA HEALTHCARE CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L WILLIAMS (CEO)
(229) 524-1307
Entity
Organization
Contact information
Practice address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2808
(229) 524-1272
Mailing address
205 BRESEE ST, DONALSONVILLE, GA 39845-1134
(229) 524-1307
(229) 524-6268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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