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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 Women's Ctn
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHWEST GEORGIA HEALTHCARE CLINICS INC
Authorized official
JAMES MOODY (CFO)
(229) 524-5217
Entity
Organization

Contact information

Practice address
900 N WILEY AVE, DONALSONVILLE, GA 39845-1127
(229) 524-8489
(229) 524-6237
Mailing address
900 N WILEY AVE, DONALSONVILLE, GA 39845-1127
(229) 524-8489
(229) 524-6237

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
04/19/2006
Last updated
08/11/2021
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