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Organization

GOOD SAMARITAN HEALTH & WELLNESS CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMI W SORRELLS (CEO)
(770) 815-0986
Entity
Organization

Contact information

Practice address
175 SAMARITAN DR, JASPER, GA 30143-1964
(706) 253-4673
(706) 253-4675
Mailing address
175 SAMARITAN DR, JASPER, GA 30143-1964
(706) 253-4633
(706) 253-4631

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
05/12/2010
Last updated
12/04/2025
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