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Southside Medical Center, Inc.
Federally Qualified Health Center (FQHC) in Forest Park, Georgia
NPI 1730207663

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 Forest Park, GA. The NPI Number for Southside Medical Center, Inc. is 1730207663 and holds a License No. (Georgia).

The current practice location address for Southside Medical Center, Inc. is 4945 Governors Dr, Forest Park, GA and can be reached out via phone at 470-426-8028.

Location: 4945 Governors Dr, Forest Park, GA, 30315-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730207663
Provider Name
Southside Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
4945 Governors Dr, Forest Park, GA, 30315-1640
Phone Number
470-426-8028
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000444056E 05 GA
institution
Provider Business Practice Location Address Details
Address
4945 Governors Dr
City
Forest Park
State
Georgia
Zip
30297-2134
Phone Number
470-426-8028
Fax Number
person
Provider Business Mailing Address Details
Address
4945 Governors Dr
City
Forest Park
State
Georgia
Zip
30297-2134
Phone Number
470-426-8028
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Georgia)
Definition
Definition to come...
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