Organization
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA U ALLEN (CEO)
(706) 996-8251
Entity
Organization
Contact information
Practice address
118 E GIRARD AVE, CEDARTOWN, GA 30125-2778
(706) 866-8820
(706) 866-5502
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 657-7575
(706) 657-2958
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
04/07/2014
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