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Southside Medical Center, Inc.
Federally Qualified Health Center (FQHC) in Riverdale, Georgia
NPI 1427175090

Southside Medical Center, Inc. is a Federally Qualified Health Center (FQHC) based in Atlanta, GA and is specialized in Federally Qualified Health Center (FQHC). Southside Medical Center, Inc. practices in Riverdale, GA. The NPI Number for Southside Medical Center, Inc. is 1427175090 and holds a License No. (Georgia).

The current practice location address for Southside Medical Center, Inc. is 116 Upper Riverdale Rd Sw, Riverdale, GA and can be reached out via phone at 678-834-7847 and via fax at 770-991-0071.

Location: 116 Upper Riverdale Rd Sw, Riverdale, GA, 30315-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427175090
Provider Name
Southside Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
116 Upper Riverdale Rd Sw, Riverdale, GA, 30315-1640
Phone Number
678-834-7847
Fax Number
770-991-0071
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000444056L 05 GA
institution
Provider Business Practice Location Address Details
Address
116 Upper Riverdale Rd Sw
City
Riverdale
State
Georgia
Zip
30274
Phone Number
678-834-7847
Fax Number
770-991-0071
person
Provider Business Mailing Address Details
Address
116 Upper Riverdale Rd Sw
City
Riverdale
State
Georgia
Zip
30274
Phone Number
678-834-7847
Fax Number
770-991-0071
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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