Organization
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BUFFINGTON (CREDENTIALING COORDINATOR)
(706) 866-5520
Entity
Organization
Contact information
Practice address
134 RHEA MCCLANAHAN DR, TUNNEL HILL, GA 30755-7328
(706) 866-5520
(706) 866-5512
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 657-7575
(706) 866-5512
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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