Organization
SOUTH CENTRAL PRIMARY CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R B TUCKER JR. CFO (CFO)
(229) 468-9160
Entity
Organization
Contact information
Practice address
204 E 4TH ST, OCILLA, GA 31774-1539
(229) 468-9166
(229) 468-9188
Mailing address
PO BOX 749, OCILLA, GA 31774-0749
(229) 468-9166
(229) 468-9188
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/13/2007
Last updated
11/26/2024
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