Organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Active
Parent organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Other names
Primary Care of Southwest Georgia- Quitman
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Authorized official
EDWIN JAMES (CFO)
(229) 723-2660
Entity
Organization
Contact information
Practice address
907 N COURT ST, QUITMAN, GA 31643-1315
(229) 263-4531
(229) 263-5787
Mailing address
360 COLLEGE ST, BLAKELY, GA 39823-2554
(229) 723-2660
(229) 723-5962
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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