Organization
SOUTHSIDE MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MASRESHA KASSA CPA (CFO)
(404) 688-1350
Entity
Organization
Contact information
Practice address
540 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2306
(404) 688-1350
Mailing address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
GA
Other
Enumeration date
05/15/2018
Last updated
07/09/2025
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