Organization
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BUFFINGTON (ADMINISTRATIVE SERVICES MANAGER)
(706) 657-7575
Entity
Organization
Contact information
Practice address
11638 HIGHWAY 27, SUITE 8, SUMMERVILLE, GA 30747-8514
(706) 657-7575
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 657-7575
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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