Organization · Type 2 NPI

South Central Primary Care Center, Inc

Federally Qualified Health Center (FQHC) · Valdosta, GA

NPI number 1467223818 Active

Practice location

2301 N Ashley St
Valdosta, GA 31602-2620

Call (229) 468-9166 Map

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...

8 other providers at this address

Other federally qualified health center (fqhc) providers in Valdosta

South Central Primary Care Center, IncFederally Qualified Health Center (FQHC) Valdosta, GA NPI 1174394423
South Central Primary Care Center, IncFederally Qualified Health Center (FQHC) Valdosta, GA NPI 1376207985
South Central Primary Care Center, IncFederally Qualified Health Center (FQHC) Valdosta, GA NPI 1528683885
South Central Primary Care Center, IncFederally Qualified Health Center (FQHC) Valdosta, GA NPI 1639664303

See all in Valdosta →

NPI record

NPI: 1467223818
Entity type: Organization (Type 2)
Issued: Jan 15, 2024
Last updated: Nov 20, 2024
Status: Active

Other names

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South Central Primary Care- Ashley Street · doing business as
South Central Primary Care- Ashley Street · 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 1467223818

South Central Primary Care Center, Inc's National Provider Identifier is 1467223818, issued on Jan 15, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Valdosta, GA. The record was last updated on Nov 20, 2024.