institution
South Central Primary Care Center
Federally Qualified Health Center (FQHC) in Douglas, Georgia
NPI 1063840296

South Central Primary Care Center is a Federally Qualified Health Center (FQHC) based in Ocilla, GA and is specialized in Federally Qualified Health Center (FQHC). South Central Primary Care Center practices in Douglas, GA. The NPI Number for South Central Primary Care Center is 1063840296 and holds a License No. (Georgia).

The current practice location address for South Central Primary Care Center is 303 Shirley Ave, Douglas, GA and can be reached out via phone at 912-384-2474 and via fax at 912-384-4995. You can also correspond with South Central Primary Care Center through the mailing address at 204 E 4TH ST, OCILLA, GA - 31774-1539 (mailing address contact number: 229-468-9166).

Location: 303 Shirley Ave, Douglas, GA, 31774-1539
institution
Provider Profile Details
NPI Number
1063840296
Provider Name
South Central Primary Care Center
Credential
Provider Entity Type
Organization
Address
303 Shirley Ave, Douglas, GA, 31774-1539
Phone Number
912-384-2474
Fax Number
912-384-4995
Provider Enumeration Date
10/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003140047A 05 GA
institution
Provider Business Practice Location Address Details
Address
303 Shirley Ave
City
State
Zip
31533
Phone Number
912-384-2474
Fax Number
912-384-4995
person
Provider Business Mailing Address Details
Address
303 Shirley Ave
City
State
Zip
31533
Phone Number
912-384-2474
Fax Number
912-384-4995
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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