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Southside Medical Center, Inc.
Federally Qualified Health Center (FQHC) in Atlanta, Georgia
NPI 1831217488

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 Atlanta, GA. The NPI Number for Southside Medical Center, Inc. is 1831217488 and holds a License No. (Georgia).

The current practice location address for Southside Medical Center, Inc. is 2578 Gresham Rd Se, Atlanta, GA and can be reached out via phone at 404-241-2336.

Location: 2578 Gresham Rd Se, Atlanta, GA, 30315-1640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831217488
Provider Name
Southside Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
2578 Gresham Rd Se, Atlanta, GA, 30315-1640
Phone Number
404-241-2336
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000444056C 05 GA
institution
Provider Business Practice Location Address Details
Address
2578 Gresham Rd Se
City
Atlanta
State
Georgia
Zip
30316-4138
Phone Number
404-241-2336
Fax Number
person
Provider Business Mailing Address Details
Address
2578 Gresham Rd Se
City
Atlanta
State
Georgia
Zip
30316-4138
Phone Number
404-241-2336
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(Georgia)
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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