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Primary Care Of Southwest Georgia, Inc
Federally Qualified Health Center (FQHC) in Thomasville, Georgia
NPI 1992102073

Primary Care Of Southwest Georgia, Inc is a Federally Qualified Health Center (FQHC) based in Thomasville, GA and is specialized in Federally Qualified Health Center (FQHC). Primary Care Of Southwest Georgia, Inc practices in Thomasville, GA. The NPI Number for Primary Care Of Southwest Georgia, Inc is 1992102073 and holds a License No. (Georgia).

The current practice location address for Primary Care Of Southwest Georgia, Inc is 916 S Broad St, Thomasville, GA and can be reached out via phone at 229-226-8800 and via fax at 229-226-2036.

Location: 916 S Broad St, Thomasville, GA, 31799-1479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992102073
Provider Name
Primary Care Of Southwest Georgia, Inc
Credential
Provider Entity Type
Organization
Address
916 S Broad St, Thomasville, GA, 31799-1479
Phone Number
229-226-8800
Fax Number
229-226-2036
Provider Enumeration Date
12/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003155529A 05 GA
institution
Provider Business Practice Location Address Details
Address
916 S Broad St
City
Thomasville
State
Georgia
Zip
31792-6113
Phone Number
229-226-8800
Fax Number
229-226-2036
person
Provider Business Mailing Address Details
Address
916 S Broad St
City
Thomasville
State
Georgia
Zip
31792-6113
Phone Number
229-226-8800
Fax Number
229-226-2036
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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