East Georgia Healthcare Center INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Sylvania, GA. Organization (NPI-2).
NPI number1366089062
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1366089062
- Entity type
- Organization (NPI-2)
- Legal business name
- East Georgia Healthcare Center INC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2019
- Certification date
- Sep 14, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
330 Mims RdSylvania, GA 30467-1992
Phone 912-451-5887 · Fax 912-451-5886
Mailing address
215 N Coleman StSwainsboro, GA 30401-3530
Phone 478-237-6262 · Fax 478-237-9138
Authorized official
Jill R Sorrells
Cfo
4782376262
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.