Organization
EAST GEORGIA HEALTHCARE CENTER, INC.
Active
Other names
Statesboro Pediatrics and Family Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA BRASWELL (OPERATIONS MANGER)
(478) 237-6262
Entity
Organization
Contact information
Practice address
1570 BRAMPTON AVE, STATESBORO, GA 30458-0855
(912) 764-9196
(912) 764-8401
Mailing address
215 N COLEMAN ST, SWAINSBORO, GA 30401-3530
(478) 237-6262
(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
—
861815107A
—
GA
Enumeration date
03/02/2007
Last updated
02/16/2015
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