Organization · Type 2 NPI
Palmetto Health Council Inc
Federally Qualified Health Center (FQHC) · Carrollton, GA
NPI number
1467612952
Active
Practice location
202 Croft St
Carrollton, GA 30117-3803
Fax (770) 834-7100
Mailing address
643 Main St
Palmetto, GA 30268-1138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | H800040 (GA) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | H800040 (GA) |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1467612952
Palmetto Health Council Inc's National Provider Identifier is 1467612952, issued on Jun 10, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Carrollton, GA. The record was last updated on May 14, 2025.