Organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC
Active
Other names
Primary Care of Southwest Georgia-TCMS
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN JAMES (CFO)
(229) 723-2660
Entity
Organization
Contact information
Practice address
4681 US HIGHWAY 84 BYP W, THOMASVILLE, GA 31792-2607
(229) 227-2936
(229) 225-5284
Mailing address
360 COLLEGE ST, BLAKELY, GA 39823-2554
(229) 723-2660
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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