institution
Southside Medical Center, Inc.
Federally Qualified Health Center (FQHC) in Jackson, Georgia
NPI 1588088025

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 Jackson, GA. The NPI Number for Southside Medical Center, Inc. is 1588088025 and holds a License No. (Georgia).

The current practice location address for Southside Medical Center, Inc. is 176 Lyons St, Jackson, GA and can be reached out via phone at 404-688-1350 and via fax at 404-688-2962.

Location: 176 Lyons St, Jackson, GA, 30315-1640
institution
Provider Profile Details
NPI Number
1588088025
Provider Name
Southside Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
176 Lyons St, Jackson, GA, 30315-1640
Phone Number
404-688-1350
Fax Number
404-688-2962
Provider Enumeration Date
02/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000444056O 05 GA
institution
Provider Business Practice Location Address Details
Address
176 Lyons St
City
State
Zip
30233-2134
Phone Number
404-688-1350
Fax Number
404-688-2962
person
Provider Business Mailing Address Details
Address
176 Lyons St
City
State
Zip
30233-2134
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
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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