Organization
SOUTHSIDE MEDICAL CENTER, INC.
Active
Other names
Southside Medical Center at Wellstar Atlanta Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIO AZZARITI (CFO)
(404) 564-7009
Entity
Organization
Contact information
Practice address
1136 CLEVELAND AVE STE 212, EAST POINT, GA 30344-3618
(770) 629-5276
(404) 688-2962
Mailing address
PO BOX 6687, ATLANTA, GA 30315-0687
(404) 688-1350
(404) 688-2962
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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