Organization · Type 2 NPI

Southwest Georgia Healthcare Clinics, Inc

Federally Qualified Health Center (FQHC) · Donalsonville, GA

NPI number 1962467217 Active

Practice location

900 N Wiley Ave
Donalsonville, GA 39845-1127

Fax (229) 524-6237

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician	207V00000X	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

Jessica Nunez, MDObstetrics & Gynecology Physician Donalsonville, GA NPI 1780867960
Murdoc Michael Henderson, MDObstetrics & Gynecology Physician Donalsonville, GA NPI 1245299387

Other federally qualified health center (fqhc) providers in Donalsonville

See all in Donalsonville →

NPI record

NPI: 1962467217
Entity type: Organization (Type 2)
Issued: Apr 19, 2006
Last updated: Aug 11, 2021
Status: Active
Subpart: Yes of Southwest Georgia Healthcare Clinics Inc

Other names

<unavail>
Southwest Georgia Healthcare Clinics,inc · doing business as
Southwest Georgia Healthcare Clinics Women's CTN · former legal business name
Southwest Georgia Healthcare Clinics Women's CTN · former legal business name

Authorized official

James Moody
CFO
(229) 524-5217

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962467217

Southwest Georgia Healthcare Clinics, Inc's National Provider Identifier is 1962467217, issued on Apr 19, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Donalsonville, GA. The record was last updated on Aug 11, 2021.