Organization · Type 2 NPI
Southside Medical Center, Inc.
Federally Qualified Health Center (FQHC) · Atlanta, GA
NPI number
1831217488
Active
Practice location
2578 Gresham Rd SE
Atlanta, GA 30316-4138
Mailing address
1046 Ridge Ave SW
Atlanta, GA 30315-1640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
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About NPI 1831217488
Southside Medical Center, Inc.'s National Provider Identifier is 1831217488, issued on Mar 26, 2007. 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 10, 2025.