Organization
SOUTHWEST GEORGIA HEALTHCARE CLINICS INC
Active
Parent organization
SOUTHWEST GEORGIA HEALTHCARE CLINICS INC
Other names
Southwest Georgia Healthcare Clinics,Inc, Southwest Georgia Healthcare Clinics Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST GEORGIA HEALTHCARE CLINICS INC
Authorized official
DONNA L WILLIAMS CEO (CEO)
(229) 524-1307
Entity
Organization
Contact information
Practice address
205 BRESEE STREET, DONALSONVILLE, GA 39845
(229) 524-1307
(229) 524-6268
Mailing address
205 BRESEE STREET, DONALSONVILLE, GA 39845
(229) 524-1307
(229) 524-6268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/09/2008
Last updated
08/04/2023
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