Organization · Type 2 NPI
Southside Medical Center, Inc.
Federally Qualified Health Center (FQHC) · Forest Park, GA
NPI number
1730207663
Active
Practice location
4945 Governors Dr
Forest Park, GA 30297-2134
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...
Other federally qualified health center (fqhc) providers in Forest Park
About NPI 1730207663
Southside Medical Center, Inc.'s National Provider Identifier is 1730207663, issued on Mar 27, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Forest Park, GA. The record was last updated on Jul 9, 2025.