Organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC
Active
Parent organization
PRIMARY CARE OF SOUTHWEST GEORGIA, INC
Other names
Primary Care of Southwest Georgia- Early County Elementary School
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE OF SOUTHWEST GEORGIA, INC
Authorized official
EDWIN JAMES (CFO)
(229) 723-2660
Entity
Organization
Contact information
Practice address
283 MARTIN LUTHER KING JR BLVD, BLAKELY, GA 39823-3455
(229) 723-4101
Mailing address
338 COLLEGE ST, BLAKELY, GA 39823-2554
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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