Organization · Type 2 NPI

South Central Primary Care Center, Inc

Federally Qualified Health Center (FQHC) · Douglas, GA

NPI number 1295236503 Active

Practice location

303 Shirley Ave Ste A
Douglas, GA 31533-2367

Call (912) 383-8806 Map

Fax (912) 383-8147

Mailing address

PO Box 749
Ocilla, GA 31774-0749

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Jeffery Todd Stringer, LCSWClinical Social Worker Douglas, GA NPI 1629652201

Other federally qualified health center (fqhc) providers in Douglas

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NPI record

NPI: 1295236503
Entity type: Organization (Type 2)
Issued: Feb 22, 2018
Last updated: Nov 20, 2024
Status: Active

Other names

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Psychiatric and Counseling Services · doing business as
Psychiatric and Counseling Services · doing business as

Authorized official

Robert Bonds Tucker
CEO
(229) 468-9166

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295236503

South Central Primary Care Center, Inc's National Provider Identifier is 1295236503, issued on Feb 22, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Douglas, GA. The record was last updated on Nov 20, 2024.