Organization · Type 2 NPI

Primary Care of Southwest Georgia, Inc.

Federally Qualified Health Center (FQHC) · Quitman, GA

NPI number 1790223352 Active

Practice location

907 N Court St
Quitman, GA 31643-1315

Call (229) 263-4531 Map

Fax (229) 263-5787

Mailing address

360 College St
Blakely, GA 39823-2554

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

6 other providers at this address

NPI record

NPI: 1790223352
Entity type: Organization (Type 2)
Issued: Feb 3, 2017
Last updated: Feb 3, 2017
Status: Active
Subpart: Yes of Primary Care of Southwest Georgia, Inc.

Other names

<unavail>
Primary Care of Southwest Georgia- Quitman · doing business as

Authorized official

Edwin James
CFO
(229) 723-2660

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About NPI 1790223352

Primary Care of Southwest Georgia, Inc.'s National Provider Identifier is 1790223352, issued on Feb 3, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Quitman, GA. The record was last updated on Feb 3, 2017.