institution
East Georgia Healthcare Center Inc
Federally Qualified Health Center (FQHC) in Soperton, Georgia
NPI 1700820917

East Georgia Healthcare Center Inc is a Federally Qualified Health Center (FQHC) based in Swainsboro, GA and is specialized in Federally Qualified Health Center (FQHC). East Georgia Healthcare Center Inc practices in Soperton, GA. The NPI Number for East Georgia Healthcare Center Inc is 1700820917 and holds a License No. (Georgia).

The current practice location address for East Georgia Healthcare Center Inc is 4357 E Louisiana Ave, Soperton, GA and can be reached out via phone at 478-488-4234 and via fax at 478-237-9138.

Location: 4357 E Louisiana Ave, Soperton, GA, 30401-3530
institution
Provider Profile Details
NPI Number
1700820917
Provider Name
East Georgia Healthcare Center Inc
Credential
Provider Entity Type
Organization
Address
4357 E Louisiana Ave, Soperton, GA, 30401-3530
Phone Number
478-488-4234
Fax Number
478-237-9138
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000632376G 05 GA
institution
Provider Business Practice Location Address Details
Address
4357 E Louisiana Ave
City
State
Zip
30457-3661
Phone Number
478-488-4234
Fax Number
478-237-9138
person
Provider Business Mailing Address Details
Address
4357 E Louisiana Ave
City
State
Zip
30457-3661
Phone Number
478-488-4234
Fax Number
478-237-9138
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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