Organization
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Active
Parent organization
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Other names
LENOX FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Authorized official
ROBERT BONDS TUCKER (CEO)
(229) 468-9166
Entity
Organization
Contact information
Practice address
15 S RAILROAD ST, LENOX, GA 31637-7424
(229) 546-4206
(229) 546-4612
Mailing address
PO BOX 749, OCILLA, GA 31774-0749
(229) 468-9166
(229) 468-9188
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
11/26/2024
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