Southwest Georgia Healthcare Clinics, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Donalsonville, GA. Organization (NPI-2).
NPI number1962467217
StatusActive
Last updated in NPPESAug 11, 2021
Details
- NPI
- 1962467217
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwest Georgia Healthcare Clinics, INC
- Organization subpart
- Yes
- Enumeration date
- Apr 19, 2006
- Certification date
- Aug 11, 2021
- Last updated
- Aug 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 207V00000X | Obstetrics & Gynecology | – | – |
Other names
- Southwest Georgia Healthcare Clinics,inc (Doing Business As)
- Southwest Georgia Healthcare Clinics Women'S Ctn (Former Legal Business Name)
Practice location
900 N Wiley AveDonalsonville, GA 39845-1127
Phone 229-524-8489 · Fax 229-524-6237
Mailing address
900 N Wiley AveDonalsonville, GA 39845-1127
Phone 229-524-8489 · Fax 229-524-6237
Authorized official
James Moody
Cfo
2295245217
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All 6 Federally Qualified Health Center (FQHC) providers in Donalsonville · All 106 providers in Donalsonville
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