Organization · Type 2 NPI
East Georgia Healthcare Center Inc
Federally Qualified Health Center (FQHC) · Sylvania, GA
NPI number
1366089062
Active
Practice location
330 Mims Rd
Sylvania, GA 30467-1992
Fax (912) 451-5886
Mailing address
215 N Coleman St
Swainsboro, GA 30401-3530
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
About NPI 1366089062
East Georgia Healthcare Center Inc's National Provider Identifier is 1366089062, issued on Dec 2, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sylvania, GA. The record was last updated on Sep 30, 2021.