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Organization

SOUTH CENTRAL PRIMARY CARE CENTER, INC

Active
Other names
South Central Primary Care- Ashley Street
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT BONDS TUCKER (CEO)
(229) 468-9166
Entity
Organization

Contact information

Practice address
2301 N ASHLEY ST, VALDOSTA, GA 31602-2620
(229) 468-9166
Mailing address
PO BOX 749, OCILLA, GA 31774-0749
(229) 468-9166

Taxonomy

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

Other

Enumeration date
01/15/2024
Last updated
11/20/2024
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