Organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC
Active
Parent organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC
Other names
Blakely Primary Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE OF SOUTHWEST GEORGIA, INC
Authorized official
EDWIN JAMES (CEO)
(229) 723-2660
Entity
Organization
Contact information
Practice address
360 COLLEGE ST, BLAKELY, GA 39823-2554
(229) 723-2660
Mailing address
360 COLLEGE ST, BLAKELY, GA 39823-2554
(229) 723-2660
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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