institution
Southside Medical Center, Inc
Federally Qualified Health Center (FQHC) in Lawrenceville, Georgia
NPI 1861129850

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 Lawrenceville, GA. The NPI Number for Southside Medical Center, Inc is 1861129850 and holds a License No. (Georgia).

The current practice location address for Southside Medical Center, Inc is 1030 Old Peachtree Rd Nw Ste 402, Lawrenceville, GA and can be reached out via phone at 770-495-6222 and via fax at 770-495-9959.

Location: 1030 Old Peachtree Rd Nw Ste 402, Lawrenceville, GA, 30315-1640
institution
Provider Profile Details
NPI Number
1861129850
Provider Name
Southside Medical Center, Inc
Credential
Provider Entity Type
Organization
Address
1030 Old Peachtree Rd Nw Ste 402, Lawrenceville, GA, 30315-1640
Phone Number
770-495-6222
Fax Number
770-495-9959
Provider Enumeration Date
08/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1030 Old Peachtree Rd Nw Ste 402
City
State
Zip
30043-3308
Phone Number
770-495-6222
Fax Number
770-495-9959
person
Provider Business Mailing Address Details
Address
1030 Old Peachtree Rd Nw Ste 402
City
State
Zip
30043-3308
Phone Number
770-495-6222
Fax Number
770-495-9959
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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