Organization · Type 2 NPI

Southside Medical Center, Inc.

Federally Qualified Health Center (FQHC) · Atlanta, GA

NPI number 1235123993 Active

Practice location

1046 Ridge Ave SW
Atlanta, GA 30315-1640

Fax (404) 688-2962

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center 261QC1500XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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About NPI 1235123993

Southside Medical Center, Inc.'s National Provider Identifier is 1235123993, issued on Sep 8, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Atlanta, GA. The record was last updated on Jul 9, 2025.