Organization · Type 2 NPI
Southside Medical Center, Inc.
Federally Qualified Health Center (FQHC) · Jackson, GA
NPI number
1588088025
Active
Practice location
176 Lyons St
Jackson, GA 30233-2134
Fax (404) 688-2962
Mailing address
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1588088025
Southside Medical Center, Inc.'s National Provider Identifier is 1588088025, issued on Feb 4, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Jackson, GA. The record was last updated on Sep 14, 2015.