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Southside Medical Center, Inc.
Clinic/Center in Atlanta, Georgia
NPI 1063627610

Southside Medical Center, Inc. is a Clinic/Center based in Atlanta, GA. Southside Medical Center, Inc. practices in Atlanta, GA. The NPI Number for Southside Medical Center, Inc. is 1063627610 and holds a License No. (Georgia).

The current practice location address for Southside Medical Center, Inc. is 1046 Ridge Ave Sw, Atlanta, GA and can be reached out via phone at 404-688-1350 and via fax at 404-688-2962.

Location: 1046 Ridge Ave Sw, Atlanta, GA, 30315-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063627610
Provider Name
Southside Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
1046 Ridge Ave Sw, Atlanta, GA, 30315-1640
Phone Number
404-688-1350
Fax Number
404-688-2962
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00021502A 05 GA
institution
Provider Business Practice Location Address Details
Address
1046 Ridge Ave Sw
City
Atlanta
State
Georgia
Zip
30315-1640
Phone Number
404-688-1350
Fax Number
404-688-2962
person
Provider Business Mailing Address Details
Address
1046 Ridge Ave Sw
City
Atlanta
State
Georgia
Zip
30315-1640
Phone Number
404-688-1350
Fax Number
404-688-2962
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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