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Organization

EAST GEORGIA HEALTHCARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL R SORRELLS (CFO)
(478) 419-1641
Entity
Organization

Contact information

Practice address
4357 E LOUISIANA AVE, SOPERTON, GA 30457-3661
(478) 488-4234
(478) 237-9138
Mailing address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 237-2638
(478) 237-9138

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000632376G
GA
Enumeration date
06/16/2006
Last updated
05/01/2023
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