Organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Active
Parent organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Other names
Primary Care of Southwest Georgia- Bainbridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE OF SOUTHWEST GEORGIA, INC.
Authorized official
MR. EDWIN JAMES (CHIEF FINANCIAL OFFICER)
(229) 723-2660
Entity
Organization
Contact information
Practice address
509 WHEAT AVE, BAINBRIDGE, GA 39819-4321
(229) 416-4421
Mailing address
360 COLLEGE ST, BLAKELY, GA 39823-2554
(229) 723-2660
(229) 723-5969
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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