Organization
EAST GEORGIA HEALTHCARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE WREN C. DENMARK (CEO)
(478) 237-6262
Entity
Organization
Contact information
Practice address
34 NW BROAD ST, METTER, GA 30439-4025
(912) 685-4040
(912) 685-4041
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
—
000632376H
—
GA
Enumeration date
11/27/2007
Last updated
02/03/2017
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