Organization · Type 2 NPI
Southside Medical Center, Inc
Federally Qualified Health Center (FQHC) · Atlanta, GA
NPI number
1629510466
Active
Practice location
2025 Jonesboro Rd SE
Atlanta, GA 30315-6726
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...
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About NPI 1629510466
Southside Medical Center, Inc's National Provider Identifier is 1629510466, issued on Nov 10, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Atlanta, GA. The record was last updated on Jul 9, 2025.