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East Georgia Healthcare Center, Inc.
Federally Qualified Health Center (FQHC) in Vidalia, Georgia
NPI 1790924918

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 Vidalia, GA. The NPI Number for East Georgia Healthcare Center, Inc. is 1790924918 and holds a License No. (Georgia).

The current practice location address for East Georgia Healthcare Center, Inc. is 118 Alice Coleman Dr, Vidalia, GA and can be reached out via phone at 912-537-6565 and via fax at 912-537-6161.

Location: 118 Alice Coleman Dr, Vidalia, GA, 30401-3530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790924918
Provider Name
East Georgia Healthcare Center, Inc.
Credential
Provider Entity Type
Organization
Address
118 Alice Coleman Dr, Vidalia, GA, 30401-3530
Phone Number
912-537-6565
Fax Number
912-537-6161
Provider Enumeration Date
02/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000632376L 05 GA
institution
Provider Business Practice Location Address Details
Address
118 Alice Coleman Dr
City
Vidalia
State
Georgia
Zip
30474-8860
Phone Number
912-537-6565
Fax Number
912-537-6161
person
Provider Business Mailing Address Details
Address
118 Alice Coleman Dr
City
Vidalia
State
Georgia
Zip
30474-8860
Phone Number
912-537-6565
Fax Number
912-537-6161
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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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